Healthcare Provider Details

I. General information

NPI: 1417810441
Provider Name (Legal Business Name): JAMES YU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 SAN PABLO AVE
ALBANY CA
94706-2010
US

IV. Provider business mailing address

4681 BRITTANY DR
FAIRFIELD CA
94534-6901
US

V. Phone/Fax

Practice location:
  • Phone: 510-526-2353
  • Fax:
Mailing address:
  • Phone: 415-819-5089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: