Active NPI
Joy Yan
- School Counselor
- Antioch, CA
National Provider Identifier
1942001243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230128968
- Practice address
- 4791 Prewett Ranch Dr
Antioch, CA 94531-9072 - Phone
- (626) 374-7119
- NPI assigned
- Mar 22, 2025
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230128968 | CA | Primary |
Addresses
Primary practice location
4791 Prewett Ranch Dr
Antioch, CA 94531-9072
Mailing address
8636 Ardendale Ave
San Gabriel, CA 91775-1837
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 |
|---|---|---|---|
| 230128968 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1942001243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8636 ARDENDALE AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917751837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4791 PREWETT RANCH DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945319072",
"telephone_number": "626-374-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-22",
"last_updated": "2025-03-22",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230128968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.