Active NPI
Noemilyn Burlaza Tsukushi, PHYSICAL THERAPIST
- Community Health Worker
- Redwood City, CA
National Provider Identifier
1245761998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- PT1701
- Practice address
- 3658 Farm Hill Blvd
Redwood City, CA 94061-1231 - Phone
- (650) 346-4693
- NPI assigned
- Mar 24, 2017
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PT1701 | CA | Primary |
Addresses
Primary practice location
3658 Farm Hill Blvd
Redwood City, CA 94061-1231
Mailing address
3658 Farm Hill Blvd
Redwood City, CA 94061-1231
Phone (650) 346-4693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1701 | Other | CA | APTA |
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 |
|---|---|---|---|
| PT1701 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1245761998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 FARM HILL BLVD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611231",
"telephone_number": "650-346-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3658 FARM HILL BLVD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611231",
"telephone_number": "650-346-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKUSHI",
"first_name": "NOEMILYN",
"middle_name": "BURLAZA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "PT1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APTA",
"identifier": "PT1701",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.