Healthcare Provider Details

I. General information

NPI: 1598602245
Provider Name (Legal Business Name): SHIYU QI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON QI

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1782 B ST
HAYWARD CA
94541-3102
US

IV. Provider business mailing address

6 AVOCET DR APT 208
REDWOOD CITY CA
94065-2284
US

V. Phone/Fax

Practice location:
  • Phone: 510-270-5027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number759546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: