Active NPI
Yifang Sun
- Physical Therapist
- Santa Clara, CA
National Provider Identifier
1083136436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12875
- Practice address
- 3010 Olcott St
Santa Clara, CA 95054-3207 - Phone
- (408) 731-8686
- Fax
- (408) 727-7020
- NPI assigned
- Jul 7, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12875 | CA | Primary |
Addresses
Primary practice location
3010 Olcott St
Santa Clara, CA 95054-3207
Mailing address
19328 Greenwood Cir
Cupertino, CA 95014-3461
Phone (408) 761-1098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT12875 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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 |
|---|---|---|---|
| PT12875 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nava Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grace Adult Day Health Care
- Adult Day Care Clinic/Center
- Sunnyvale, CA
- NPI 1366655516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1083136436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19328 GREENWOOD CIR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143461",
"telephone_number": "408-761-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 OLCOTT ST",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950543207",
"telephone_number": "408-731-8686",
"fax_number": "408-727-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "YIFANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "PT12875",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.