Healthcare Provider Details

I. General information

NPI: 1487790069
Provider Name (Legal Business Name): YESALEMUSH SENDEKU RN DNS CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 SOUTH MAIN ST
WALNUT CREEK CA
94596
US

IV. Provider business mailing address

710 SOUTH BROADWAY, SUITE 300
WALNUT CREEK CA
94596
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-5477
  • Fax: 925-295-5226
Mailing address:
  • Phone: 925-295-4145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number240907
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: