Healthcare Provider Details

I. General information

NPI: 1518683606
Provider Name (Legal Business Name): ASHLYNN MICHELLE FRANDSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E SANTA CLARA ST
SAN JOSE CA
95113-1936
US

IV. Provider business mailing address

800 N 1ST ST
SAN JOSE CA
95112-6312
US

V. Phone/Fax

Practice location:
  • Phone: 669-225-3100
  • Fax:
Mailing address:
  • Phone: 408-299-0462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: