Active NPI
Chen Yang
- Physical Therapist
- Kentfield, CA
National Provider Identifier
1184273377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297155
- Practice address
- 801 College Ave
Kentfield, CA 94904-2562 - Phone
- (415) 258-9894
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT297155 | CA | Primary |
Addresses
Primary practice location
801 College Ave
Kentfield, CA 94904-2562
Mailing address
801 College Ave
Kentfield, CA 94904-2562
Other practice location 1
1099 D St
San Rafael, CA 94901-2829
Phone (415) 532-8335
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT297155 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1184273377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 COLLEGE AVE",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949042562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 COLLEGE AVE",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949042562",
"telephone_number": "415-258-9894"
}
],
"practiceLocations": [
{
"address_1": "1099 D St",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949012829",
"country_code": "US",
"telephone_number": "415-532-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "CHEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.