Individual provider Active NPI

Regina Valderrama Yen, PT

  • Physical Therapist
  • Pleasant Hill, CA
National Provider Identifier
1447397609
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28571 Issued in CA
Practice address
395 Taylor Blvd Ste 118
Pleasant Hill, CA 94523-2276
Phone
(925) 246-6000
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28571 CA Primary

Addresses

Primary practice location

395 Taylor Blvd Ste 118
Pleasant Hill, CA 94523-2276

Mailing address

395 Taylor Blvd Ste 118
Pleasant Hill, CA 94523-2276
Phone (925) 246-6000

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

LicenseStateTypeSpecialty
2957CAMDSchool Psychologist
PT28571CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasanton Physical Therapy Services, Inc. Physical Therapist PastSince Apr 1, 2002 Accepting new patients

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1447397609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 118",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232276",
            "telephone_number": "925-246-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 118",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232276",
            "telephone_number": "925-246-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "REGINA",
        "middle_name": "VALDERRAMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.