TIBURON WELLNESS CENTER
NPI 1104038777
Chiropractor in Tiburon, CA

Active since May 04, 2007
1640 TIBURON BLVD, 6, TIBURON, CA 94920(415) 435-7420(415) 435-7424 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiburon Wellness Center NPPES

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

TIBURON WELLNESS CENTER (NPI 1104038777) is a healthcare organization registered as a chiropractor in Tiburon, California and active in the NPI registry since May 2007. The organization lists Gretchen K. Andreis, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104038777
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLORI ANDREIS BERGERON
Location Address1640 TIBURON BLVD, 6Tiburon, CA 94920-2515
Mailing Address1640 Tiburon Blvd, 6Tiburon, CA 94920-2515 · (415) 435-7420 · Fax (415) 435-7424
Fax(415) 435-7424
Organization SubpartNo
Authorized OfficialGretchen K. AndreisDoctor · (415) 435-7420
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 25, 2007
NPI 1104038777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in CA · DC21875 Licensed in CA · DC21624
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1640 TIBURON BLVD, Tiburon, CA 94920

Other Names 1

Doing Business AsTiburon Wellness Center

Other Identifiers 4

Medicare UPINU28517CA
Medicare ID-Type UnspecifiedDC0216240CA
Medicare UPINU37871CA
Medicare ID-Type UnspecifiedDC021875CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Chiropractor
1640 TIBURON BLVD
TIBURON, CA 94920
Chiropractor
1640 TIBURON BLVD, 6
TIBURON, CA 94920
Chiropractor
1640 TIBURON BLVD
TIBURON, CA 94920
Acupuncturist
1640 TIBURON BLVD
BELVEDERE TIBURON, CA 94920

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 Lori Andreis Bergeron's NPI number?

The NPI number for Lori Andreis Bergeron is 1104038777. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Tiburon Wellness Center.

Where is Lori Andreis Bergeron located?

Lori Andreis Bergeron is located at 1640 Tiburon Blvd 6, Tiburon, CA 94920. The listed phone number is (415) 435-7420.

What is Lori Andreis Bergeron's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lori Andreis Bergeron was last updated on July 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.