Individual provider Active NPI

Yu Chin Grace Ku, CMT, AHC

  • Massage Therapist
  • Santa Cruz, CA
National Provider Identifier
1306520622
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
70351 Issued in CA
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

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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.

Verify at the official NPI Registry.