Individual provider Active NPI

Lydia Vincent-White

  • Rehabilitation Practitioner
  • San Francisco, CA
National Provider Identifier
1144105016
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3450 3Rd Street, Building 2
Suite 201
San Francisco, CA 94124
Phone
(628) 224-1255
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3450 3Rd Street, Building 2
Suite 201
San Francisco, CA 94124

Mailing address

3450 3Rd Street, Building 2
Suite 201
San Francisco, CA 94124
Phone (628) 224-1255

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Youth Wellness CurrentSince Aug 10, 2025 Accepting new patients
Safe & Sound PastSince Aug 10, 2025 Accepting new patients

Locations

3450 3rd St
Ste 201
San Francisco, CA 94124
Phone (415) 429-2025

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1144105016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 3RD STREET, BUILDING 2",
            "address_2": "SUITE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "628-224-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 3RD STREET, BUILDING 2",
            "address_2": "SUITE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "628-224-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT-WHITE",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.