Healthcare Provider Details

I. General information

NPI: 1003760364
Provider Name (Legal Business Name): YERINA ROCK AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 FILLMORE ST
SAN FRANCISCO CA
94115-2745
US

IV. Provider business mailing address

5042 GLIDE DR APT 2
DAVIS CA
95618-4442
US

V. Phone/Fax

Practice location:
  • Phone: 415-741-3980
  • Fax:
Mailing address:
  • Phone: 415-741-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: