Healthcare Provider Details

I. General information

NPI: 1710897764
Provider Name (Legal Business Name): ANTHONY YU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9281 OFFICE PARK CIR STE 100
ELK GROVE CA
95758-8069
US

IV. Provider business mailing address

7469 POCKET RD
SACRAMENTO CA
95831-4821
US

V. Phone/Fax

Practice location:
  • Phone: 916-892-1330
  • Fax: 916-892-1331
Mailing address:
  • Phone: 415-971-7219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: