EVERSIDE HEALTH FAIRFIELD
NPI 1093585291
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Fairfield, CA

Active since January 08, 2024CLIA Certified · 3 labs
1620 PENNSYLVANIA AVE STE B, FAIRFIELD, CA 94533(704) 661-1380 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everside Health Fairfield NPPES

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

EVERSIDE HEALTH FAIRFIELD (NPI 1093585291) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Fairfield, California and active in the NPI registry since January 2024. The organization holds 3 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1093585291
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH FAIRFIELD
Location Address1620 PENNSYLVANIA AVE STE BFairfield, CA 94533-3509
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1093585291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1620 PENNSYLVANIA AVE STE B, Fairfield, CA 94533

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 3

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 05D2303006

Everside Health Fairfield · Fairfield, CA
Active · expires Apr 17, 2028
CLIA Number05D2303006
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorJohn Landsberg
Laboratory Phone(951) 229-0708
Laboratory LocationEverside Health Fairfield1620 Pennsylvania Ave Suite B, Fairfield, CA 94533
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2277745

Everside Health-Goodyear-Findlay · Findlay, OH
Active · expires Mar 2, 2027
CLIA Number36D2277745
Laboratory TypeChronic Mgt
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMark Hughes
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health-Goodyear-Findlay701 Lima Avenue, Findlay, OH 45840
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2268686

Everside Health Llc-Farmington · Farmington, MO
Active · expires Sep 14, 2026
CLIA Number26D2268686
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorJason Mehrtens
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health Llc-Farmington160 Westmount Drive, Farmington, MO 63640
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Nurse Practitioner (Family)
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Physician Assistant (Medical)
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Physician Assistant
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533

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 Everside Health Fairfield's NPI number?

The NPI number for Everside Health Fairfield is 1093585291. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Everside Health Fairfield located?

Everside Health Fairfield is located at 1620 Pennsylvania Ave Ste B, Fairfield, CA 94533. The listed phone number is (704) 661-1380.

What is Everside Health Fairfield's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health Fairfield hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Everside Health Fairfield was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.