Individual provider Active NPI

Chunling Yu

  • Massage Therapist
  • Palm Desert, CA
National Provider Identifier
1164200671
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
63855 Issued in CA
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

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
63855CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Global Inc Single Specialty CurrentSince Oct 29, 2023 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.

Verify at the official NPI Registry.