HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE NPI 1104256924

NPI Information

  • NPI: 1104256924
  • Provider Name: HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Organization
  • Address: 1301 PINOLE VALLEY RD
    PINOLE, CA
    ZIP 94564
  • Phone: (925) 243-4100

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NPI Details

HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE is a neuromusculoskeletal medicine omm in Pinole, CA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. HEALTHY LIFESTYLES AND PRESCRIPTIVE EXERCISE NPI is 1104256924. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1301 PINOLE VALLEY RD
PINOLE, CA
ZIP 94564-384
Phone: (925) 243-4100

The provider's authorized official is Artemio Perez .
The authorized official title is Secretary and has the following contact phone number (925) 361-7153.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
2207QS0010XFamily MedicineSports MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
42081S0010XPhysical Medicine & RehabilitationSports MedicineNo
5204D00000XNeuromusculoskeletal Medicine & OMMYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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