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BOWEN YAO DOCTORAL STUDENT
NPI 1174148134
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since June 15, 2020
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, May 8, 2025, May 9, 2023 and 3 more (6 updates tracked since 2020).

About Bowen Yao Doctoral Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOWEN YAO DOCTORAL STUDENT (NPI 1174148134) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1174148134
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBOWEN YAOCredential: DOCTORAL STUDENT
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112
Phone(510) 848-1112
Sole ProprietorNo
Enumeration DateJune 15, 2020
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1174148134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3075 ADELINE ST STE 120, Berkeley, CA 94703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN THERESE MAYONE
Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
DR. ADAM MOSS PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ELISA PACE
Rehabilitation Practitioner
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
DR. CHRISTOPHER GEORGE PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
GALIT LOTAN OUTMEZGUINE
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7610
MS. MEGAN S BONDY ASW
Social Worker
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
ALYSE GINTER
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
GESSICA SHIRLIN NI
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bowen Yao's NPI number?

The NPI number for Bowen Yao is 1174148134. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Bowen Yao located?

Bowen Yao practices at 3075 Adeline St Ste 120, Berkeley, CA 94703. The listed phone number is (510) 848-1112.

What is Bowen Yao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bowen Yao was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.