Active NPI
Chunling Yu
- Massage Therapist
- Palm Desert, CA
National Provider Identifier
1164200671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 63855
- Practice address
- 75048 Gerald Ford Dr # 102
Palm Desert, CA 92211-2080 - Phone
- (760) 568-2888
- NPI assigned
- Sep 18, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 63855 | CA | Primary |
Addresses
Primary practice location
75048 Gerald Ford Dr # 102
Palm Desert, CA 92211-2080
Mailing address
75048 Gerald Ford Dr # 102
Palm Desert, CA 92211-2080
Phone (760) 568-2888
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 |
|---|---|---|---|
| 63855 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Seasons Global Inc | Single Specialty | Current | Accepting new patients |
Locations
75048 Gerald Ford Dr
#102
Palm Desert, CA 92211
Phone (760) 568-2888
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1164200671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75048 GERALD FORD DR # 102",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112080",
"telephone_number": "760-568-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75048 GERALD FORD DR # 102",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922112080",
"telephone_number": "760-568-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "CHUNLING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "63855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.