EVERSIDE HEALTH-ANTIOCH
NPI 1104604693
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Antioch, CA
About Everside Health-antioch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERSIDE HEALTH-ANTIOCH (NPI 1104604693) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Antioch, California and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 26D2300850
Everside Health Neosho · Neosho, MOCertificate of Waiver 49D2296011
Everside Health Roanoke South · Roanoke, VAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANTIOCH, CA 94531
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-Antioch's NPI number?
The NPI number for Everside Health-Antioch is 1104604693. It was assigned to this organization in the NPPES registry on September 18, 2023.
Where is Everside Health-Antioch located?
Everside Health-Antioch is located at 5201 Deer Valley Rd Ste 1E, Antioch, CA 94531. The listed phone number is (704) 661-1380.
What is Everside Health-Antioch'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-Antioch hold CLIA laboratory certificates?
Yes. 2 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-Antioch was last updated on September 18, 2023. 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.
# Everside Health-Antioch · NPI 1104604693
Preventive Medicine/Occupational Environmental Medicine organization in Antioch, California. Organization record, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1104604693 (Entity type: Organization)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** No
- **Authorized official:** Jill Patton, DIRECTOR OF RISK MANAGEMENT
## Practice location
- **Address:** 5201 DEER VALLEY RD STE 1E, Antioch, CA 94531-7430
- **Phone:** (704) 661-1380
## Record status
- **NPPES last updated:** September 18, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104604693) · Data from the CMS NPPES public registry.