Everside Health-Antioch
Clinic/Center in Antioch, CA. Organization (NPI-2).
NPI number1104604693
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1104604693
- Entity type
- Organization (NPI-2)
- Legal business name
- Everside Health-Antioch
- Organization subpart
- No
- Enumeration date
- Sep 18, 2023
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
5201 Deer Valley Rd Ste 1eAntioch, CA 94531-7430
Phone 704-661-1380
Mailing address
4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Authorized official
Jill Johnson Patton
Director Of Risk Management
7049365546
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