JENNIE LI YANG
NPI 1053167809
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA
About Jennie Li Yang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIE LI YANG (NPI 1053167809) is an individual student in an organized health care education/training program in Woodland Hills, California, licensed in North Carolina (323736) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennie Li Yang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennie Yang's NPI number?
The NPI number for Jennie Yang is 1053167809. It was assigned to this individual provider in the NPPES registry on April 24, 2024.
Where is Jennie Yang located?
Jennie Yang practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (833) 574-2273.
What is Jennie Yang's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jennie Yang enrolled in Medicare?
Yes. Jennie Yang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennie Yang was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennie Li Yang · NPI 1053167809
Student in an Organized Health Care Education/Training Program provider in Woodland Hills, California. Individual provider, active in the CMS NPPES registry since April 24, 2024.
## Identity
- **NPI:** 1053167809 (Entity type: Individual)
- **Enumerated:** April 24, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 323736 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 DE SOTO AVE, Woodland Hills, CA 91367-6798
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053167809) · Data from the CMS NPPES public registry.