Organization Active NPI

Worldwide Integrative Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Bruno, CA
National Provider Identifier
1033552120
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A031906 Issued in CA
Legal business name
WORLDWIDE INTEGRATIVE HEALTHCARE, INC.
Practice address
654 Jenevein Ave
San Bruno, CA 94066-4230
Phone
(650) 877-0999
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosalyn Yu
Title
Office Manager
Phone
(650) 877-0999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC270010 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A031906 CA Primary

Addresses

Primary practice location

654 Jenevein Ave
San Bruno, CA 94066-4230

Mailing address

654 Jenevein Ave
San Bruno, CA 94066-4230
Phone (650) 877-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000826 CA Part B Supplier - Clinic/Group Practice 6507009230 Receives reassigned benefits from 2 practitioners
Practice locations: San Bruno, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1033552120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-877-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 JENEVEIN AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664230",
            "telephone_number": "650-877-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLDWIDE INTEGRATIVE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-877-0999"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC270010",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A031906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.