Healthcare Provider Details

I. General information

NPI: 1396566659
Provider Name (Legal Business Name): XINDI YIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

758 SPINDRIFT PL
SAN JOSE CA
95134-1313
US

IV. Provider business mailing address

758 SPINDRIFT PL
SAN JOSE CA
95134-1313
US

V. Phone/Fax

Practice location:
  • Phone: 408-506-6799
  • Fax:
Mailing address:
  • Phone: 408-506-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: