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GREATER GOOD HEALTH PC, INC.
NPI 1033095914
Clinic/Center - Primary Care in Ammon, ID

Active since August 14, 2025CLIA 13D2331713 · Waiver
3017 EAGLE DRIVE, AMMON, ID 83406(626) 232-3929 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greater Good Health Pc, Inc. NPPES

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

GREATER GOOD HEALTH PC, INC. (NPI 1033095914) is a healthcare organization registered as a primary care in Ammon, Idaho and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Sylvia Hastanan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033095914
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREATER GOOD HEALTH PC, INC.
Location Address3017 EAGLE DRIVEAmmon, ID 83406
Mailing Address300 Continental Blvd Ste 560El Segundo, CA 90245-5030 · (626) 232-3929
Phone(626) 232-3929
Organization SubpartNo
Authorized OfficialSylvia HastananVice President · (310) 795-8807
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1033095914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3017 EAGLE DRIVE, Ammon, ID 83406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2331713

Greater Good Health PC, Inc · Ammon, ID
Active · expires Oct 6, 2027
CLIA Number13D2331713
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorRajesh L. Gade
Laboratory Phone(626) 232-3929
Laboratory LocationGreater Good Health PC, Inc3017 Eagle Dr, Ammon, ID 83406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greater Good Health PC, Inc.'s NPI number?

The NPI number for Greater Good Health PC, Inc. is 1033095914. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Greater Good Health PC, Inc. located?

Greater Good Health PC, Inc. is located at 3017 Eagle Drive, Ammon, ID 83406. The listed phone number is (626) 232-3929.

What is Greater Good Health PC, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Greater Good Health PC, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2331713) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greater Good Health PC, Inc. was last updated on August 14, 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.