Individual provider Active NPI

Anya Yudin-Baehrle, MTCM, LAC

  • Acupuncturist
  • Redwood City, CA
National Provider Identifier
1568973774
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17511 Issued in CA
Practice address
626 Jefferson Ave Ste 3
Redwood City, CA 94063
Phone
(650) 503-3357
NPI assigned
Oct 14, 2017
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17511 CA Primary

Addresses

Primary practice location

626 Jefferson Ave Ste 3
Redwood City, CA 94063

Mailing address

626 Jefferson Ave Ste 3
Redwood City, CA 94063-1726
Phone (650) 503-3357

Other practice location 1

851 Fremont Ave Ste 111
Los Altos, CA 94024-5602
Phone (650) 503-3357

Other practice location 2

851 Fremont Ave Ste 111
Los Altos, CA 94024-5602
Phone (650) 503-3357

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Sage Place: Acupuncture, Herbal Medicine and Wellness Inc. Acupuncturist CurrentSince Nov 10, 2019 Accepting new patients

Locations

851 Fremont Ave
Ste 111
Los Altos, CA 94024
Phone (650) 787-5570

626 Jefferson Ave
Ste 3
Redwood City, CA 94063
Phone (650) 503-3357

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1568973774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON AVE STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631726",
            "telephone_number": "650-503-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON AVE STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-503-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Fremont Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940245602",
            "country_code": "US",
            "telephone_number": "650-503-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Fremont Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940245602",
            "country_code": "US",
            "telephone_number": "650-503-3357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDIN-BAEHRLE",
        "first_name": "ANYA",
        "credential": "MTCM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-14",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.