Healthcare Provider Details

I. General information

NPI: 1891614665
Provider Name (Legal Business Name): ALLISON YAMADA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 WILLOW PASS RD STE 700
CONCORD CA
94520-7926
US

IV. Provider business mailing address

7 COMMODORE DR UNIT 455
EMERYVILLE CA
94608-1671
US

V. Phone/Fax

Practice location:
  • Phone: 925-945-1474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: