Individual provider Active NPI

Xin Yi Yu

  • Physical Therapist
  • Lynwood, CA
National Provider Identifier
1144705575
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262
Phone
(562) 333-3700
NPI assigned
Oct 2, 2018
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd Ste 500
Lynwood, CA 90262

Mailing address

1411 7TH St Apt 408
Santa Monica, CA 90401-2687

Other practice location 1

4300 Central Ave
Riverside, CA 92506-2918
Phone (951) 222-2206

Other practice location 2

4300 Central Ave
Riverside, CA 92506-2918
Phone (951) 222-2206

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
295406CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Occupational Medical Group, Inc. CurrentSince Apr 17, 2020 Accepting new patients

Locations

1835 S La Cienega Blvd
#C
Los Angeles, CA 90035
Phone (310) 287-3711

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

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.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1144705575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 7TH ST APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 500",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "562-333-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062918",
            "country_code": "US",
            "telephone_number": "951-222-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062918",
            "country_code": "US",
            "telephone_number": "951-222-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "XIN YI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.