Active NPI
Sean David Yarber, COTA
- Occupational Therapy Assistant
- Union City, CA
National Provider Identifier
1144840596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA5084
- Practice address
- 34400 Mission Blvd
Union City, CA 94587-3604 - Phone
- (478) 213-8087
- NPI assigned
- Apr 25, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA5084 | CA | Primary |
Addresses
Primary practice location
34400 Mission Blvd
Union City, CA 94587-3604
Mailing address
440 N Winchester Blvd Apt 111
Santa Clara, CA 95050-6347
Phone (478) 213-8087
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 |
|---|---|---|---|
| OTA5084 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1144840596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N WINCHESTER BLVD APT 111",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506347",
"telephone_number": "478-213-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34400 MISSION BLVD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873604",
"telephone_number": "478-213-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBER",
"first_name": "SEAN",
"middle_name": "DAVID",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-25",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA5084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.