Active NPI
Xiaoying Qi
- Behavior Analyst
- Fremont, CA
National Provider Identifier
1740048255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-55278
- Practice address
- 39210 State St Ste 109
Fremont, CA 94538-1456 - Phone
- (510) 818-0892
- NPI assigned
- Mar 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5804 | CA | |
| Behavior Analyst | 103K00000X | 1-21-55278 | CA | Primary |
Addresses
Primary practice location
39210 State St Ste 109
Fremont, CA 94538-1456
Mailing address
39210 State St Ste 109
Fremont, CA 94538-1456
Phone (510) 818-0892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC16837 | Other | CA | BOARD OF BEHAVIORAL SCIENCES ISSUED |
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": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1740048255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 109",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-818-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 109",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-818-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QI",
"first_name": "XIAOYING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "5804",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-55278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES ISSUED",
"identifier": "LPCC16837",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.