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HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION NPI 1760900104


NPI Information

NPI: 1760900104
Provider Name: HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION

Doing Business As: ROCHE HEALTH CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2136177

Address:
4300 HACIENDA DR
PLEASANTON, CA
ZIP 94588
Phone: (925) 251-6879
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HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION is a multi-specialty clinic center in Pleasanton, CA. HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION NPI is 1760900104. The provider is registered as an organization entity type.
The provider Is Doing Business As Roche Health Center.

The provider's business location address is:

4300 HACIENDA DR
PLEASANTON, CA
ZIP 94588-722
Phone: (925) 251-6879
Fax: (925) 730-8623

The provider's authorized official is Peter Vasquez .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 05D2136177 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 9/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/14/2023

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