Healthcare Provider Details

I. General information

NPI: 1043127772
Provider Name (Legal Business Name): YASMIN BAKER LENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 BLOSSOM HILL RD
SAN JOSE CA
95124-6349
US

IV. Provider business mailing address

3495 MERIDIAN AVE
SAN JOSE CA
95124-3230
US

V. Phone/Fax

Practice location:
  • Phone: 408-400-2967
  • Fax:
Mailing address:
  • Phone: 510-988-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95372730
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: