Healthcare Provider Details

I. General information

NPI: 1619546884
Provider Name (Legal Business Name): YISHUI CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROWLAND WAY STE 300
NOVATO CA
94945-5041
US

IV. Provider business mailing address

550 KIRKHAM ST APT 5
SAN FRANCISCO CA
94122-3649
US

V. Phone/Fax

Practice location:
  • Phone: 415-878-0225
  • Fax: 415-878-0215
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA201576
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA201576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: