EVERNORTH DIRECT HEALTH LLC
NPI 1053288894
Clinic/Center in San Diego, CA

Q: What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1053288894. It was assigned to this organization in the NPPES registry on October 17, 2025.

Q: What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 17, 2025

3020 CHILDRENS WAY STE 213, SAN DIEGO, CA 92123(623) 277-1190 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1053288894) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since October 2025. The organization lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1053288894

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEVERNORTH DIRECT HEALTH LLC

Location Address3020 CHILDRENS WAY STE 213San Diego, CA 92123-4223

Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951

Phone(623) 277-1190

Organization SubpartYes

Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170

Enumeration DateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1053288894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3020 CHILDRENS WAY STE 213, San Diego, CA 92123

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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 Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1053288894. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 3020 Childrens Way Ste 213, San Diego, CA 92123. The listed phone number is (623) 277-1190.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.