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MT DIABLO INTEGRATED WELLNESS INC
NPI 1265623110
Specialist in Walnut Creek, CA

Active since August 06, 2007
325 N WIGET LN, SUITE 130, WALNUT CREEK, CA 94598(925) 935-5425(925) 947-2671 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mt Diablo Integrated Wellness Inc NPPES

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

MT DIABLO INTEGRATED WELLNESS INC (NPI 1265623110) is a healthcare organization registered as a specialist in Walnut Creek, California and active in the NPI registry since August 2007. The organization lists Suprabha N Jain, Owner, as its authorized official.

NPPES Registry Identity

NPI1265623110
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMT DIABLO INTEGRATED WELLNESS INC
Location Address325 N WIGET LN, SUITE 130Walnut Creek, CA 94598-2435
Mailing Address325 N Wiget Ln, Suite 130Walnut Creek, CA 94598-2435 · (925) 935-5425 · Fax (925) 947-2671
Phone(925) 935-5425
Fax(925) 947-2671
Organization SubpartNo
Authorized OfficialSuprabha N JainOwner · (925) 935-5425
Enumeration DateAugust 6, 2007
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1265623110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A67699
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
325 N WIGET LN, Walnut Creek, CA 94598
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Other Identifiers 3

Medicare PIN00A676991CA
OtherZZZ05648ZCA · Medicare Group Ptan
Medicare UPINH04887CA

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

Other Providers at the Same Location NPPES 11

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

MICHELLE LYNN WARNER CMT
Massage Therapist
325 N WIGET LN, SUITE 130
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-5425
CENTER OF INTEGRATIVE MEDICINE CORP
Preferred Provider Organization
325 N WIGET LN, STE 130
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-5425
DR. RONALD S SHIGIO O.D.
Optometrist
325 N WIGET LN, SUITE 120
WALNUT CREEK, CA 94598
Contra Costa County (925) 937-6870
OPTIMA WELLNESS ACUPUNCTURE
Acupuncturist
325 N WIGET LN, SUITE 130
WALNUT CREEK, CA 94598
Contra Costa County (925) 289-8431
DR. LAURI KIMIYE SHIGIO O.D.
Optometrist
325 N WIGET LN, SUITE 120
WALNUT CREEK, CA 94598
Contra Costa County (925) 937-6870
NANCY GORHAM FLOYD MD
General Practice
325 N WIGET LN, #130
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-5425
LISA K MAYHUGH PT, CMT
Physical Therapist
325 N WIGET LN, #130
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-5425
MRS. MAUREEN DANIEL MA: MFT
Marriage & Family Therapist
325 N WIGET LN, SUITE 130
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-5425

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 Mt Diablo Integrated Wellness Inc's NPI number?

The NPI number for Mt Diablo Integrated Wellness Inc is 1265623110. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Mt Diablo Integrated Wellness Inc located?

Mt Diablo Integrated Wellness Inc is located at 325 N Wiget Ln Suite 130, Walnut Creek, CA 94598. The listed phone number is (925) 935-5425.

What is Mt Diablo Integrated Wellness Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mt Diablo Integrated Wellness Inc was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.