Active NPI
Regina Valderrama Yen, PT
- Physical Therapist
- Pleasant Hill, CA
National Provider Identifier
1447397609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28571
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2957 | CA | MD | School Psychologist |
| PT28571 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasanton Physical Therapy Services, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Pleasanton, CA
- NPI 1336295138
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.