Healthcare Provider Details

I. General information

NPI: 1669334363
Provider Name (Legal Business Name): YS PSYCHIATRIC NURSING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

482 VERNON ST
SAN FRANCISCO CA
94132-2716
US

IV. Provider business mailing address

PO BOX 325
VALLEJO CA
94590-0032
US

V. Phone/Fax

Practice location:
  • Phone: 415-364-8573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YANING SUN
Title or Position: PRACTICE OWNER
Credential: NP
Phone: 415-364-8573