Active NPI
Yolanda J Owens
- Registered Nurse
- San Leandro, CA
National Provider Identifier
1104619956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 643522
- Practice address
- 2050 Fairmont Dr BLDG B
San Leandro, CA 94578-1001 - Phone
- (510) 483-3030
- Fax
- (510) 483-2329
- NPI assigned
- May 26, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 643522 | CA | Primary |
Addresses
Primary practice location
2050 Fairmont Dr BLDG B
San Leandro, CA 94578-1001
Mailing address
2408 Indigo Dr
Fairfield, CA 94533-7138
Phone (769) 232-4654
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 |
|---|---|---|---|
| 643522 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1104619956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 INDIGO DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945337138",
"telephone_number": "769-232-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 FAIRMONT DR BLDG B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781001",
"telephone_number": "510-483-3030",
"fax_number": "510-483-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "YOLANDA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "643522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.