Active NPI
Yanhua Fan
- Massage Therapist
- Fremont, CA
National Provider Identifier
1760828255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28295
- Practice address
- 4101 Peralta Blvd
Fremont, CA 94536-4851 - Phone
- (510) 818-0068
- NPI assigned
- May 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 28295 | CA | Primary |
Addresses
Primary practice location
4101 Peralta Blvd
Fremont, CA 94536-4851
Mailing address
4427 Amador Rd
Fremont, CA 94538-1201
Phone (510) 512-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | CA | MASSAGE THERPIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28295 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368230400000",
"number": "1760828255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4427 AMADOR RD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381201",
"telephone_number": "510-512-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 PERALTA BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364851",
"telephone_number": "510-818-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "YANHUA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-11",
"last_updated": "2013-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "28295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERPIST",
"identifier": "225700000X",
"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 May 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.