1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH FAIRFIELD
NPI 1093585291
Clinic/Center in Fairfield, CA

Active since January 08, 2024CLIA 36D2277745 · Waiver
1620 PENNSYLVANIA AVE STE B, FAIRFIELD, CA 94533(704) 661-1380 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 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 clinic/center in Fairfield, California and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1093585291
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH FAIRFIELD
Location Address1620 PENNSYLVANIA AVE STE BFairfield, CA 94533-3509
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJanuary 8, 2024
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1093585291 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).
1620 PENNSYLVANIA AVE STE B, Fairfield, CA 94533
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

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 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
Expired · 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 3

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

LEI WENA GADON HERME
Physician Assistant
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Solano County (925) 685-4224
MICHELLE R TURLINGTON ARNP
Nurse Practitioner (Family)
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Solano County (707) 827-1990
JANETTE BERENICE PARKER PA-C
Physician Assistant
1620 PENNSYLVANIA AVE STE B
FAIRFIELD, CA 94533
Solano County (925) 685-4224

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 Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health Fairfield hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2277745) is associated with this NPI, valid through March 2, 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 Everside Health Fairfield was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.