Individual provider Active NPI

Kin Wa Wu Yi

  • Behavior Technician
  • Garden Grove, CA
National Provider Identifier
1497503247
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13701 Havenwood Dr
Garden Grove, CA 92843-3509
Phone
(415) 770-5212
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

13701 Havenwood Dr
Garden Grove, CA 92843-3509

Mailing address

7712 Vanguard Cir
Garden Grove, CA 92841-3011
Phone (415) 770-5212

Other practice location 1

1409 N Jackson St
Santa Ana, CA 92703-1426
Phone (415) 770-5212

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1497503247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 VANGUARD CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413011",
            "telephone_number": "415-770-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 HAVENWOOD DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433509",
            "telephone_number": "415-770-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927031426",
            "country_code": "US",
            "telephone_number": "415-770-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU YI",
        "first_name": "KIN WA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.