Active NPI
Sherry Su
- Naturopath
- San Jose, CA
National Provider Identifier
1003368838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND840
- Practice address
- 1688 Willow St
Suite C
San Jose, CA 95125-5109 - Phone
- (408) 356-1364
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND840 | CA | Primary |
Addresses
Primary practice location
1688 Willow St
Suite C
San Jose, CA 95125-5109
Mailing address
1688 Willow St
Suite C
San Jose, CA 95125-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND840 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482710400000",
"number": "1003368838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 WILLOW ST",
"address_2": "SUITE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 WILLOW ST",
"address_2": "SUITE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255109",
"telephone_number": "408-356-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "SHERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.