Active NPI
Yu Chin Grace Ku, CMT, AHC
- Massage Therapist
- Santa Cruz, CA
National Provider Identifier
1306520622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 70351
- Practice address
- 555 Soquel Ave Ste 350
Santa Cruz, CA 95062-2320 - Phone
- (650) 269-8087
- NPI assigned
- Jun 15, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 70351 | CA | Primary |
Addresses
Primary practice location
555 Soquel Ave Ste 350
Santa Cruz, CA 95062-2320
Mailing address
1695 River Street, Santa Cruz
Santa Cruz, CA 95060
Other practice location 1
1021 Blossom Hill Rd Ste 20
San Jose, CA 95123-1188
Phone (650) 269-8087
Other names 1
- Grace Ku
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1306520622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 RIVER STREET, SANTA CRUZ",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SOQUEL AVE STE 350",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622320",
"telephone_number": "650-269-8087"
}
],
"practiceLocations": [
{
"address_1": "1021 Blossom Hill Rd Ste 20",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951231188",
"country_code": "US",
"telephone_number": "650-269-8087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KU",
"first_name": "YU CHIN",
"middle_name": "GRACE",
"credential": "CMT, AHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "70351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "KU",
"credential": "CMT, AHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.