Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVOLVING ROOTS HEALTHCARE-NURSING, INC
NPI 1669384236
Nurse Practitioner - Psychiatric/Mental Health in San Ramon, CA

Q: What is Evolving Roots Healthcare-Nursing, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 19, 2026

2500 OLD CROW CANYON RD STE 505, SAN RAMON, CA 94583(510) 495-6828 Get Directions Write a Review

NPPES record added: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Evolving Roots Healthcare-nursing, Inc NPPES

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

EVOLVING ROOTS HEALTHCARE-NURSING, INC (NPI 1669384236) is a healthcare organization registered as a psychiatric/mental health in San Ramon, California and active in the NPI registry since September 2026. The organization lists Reginalle Danette Gill, Owner, as its authorized official.

NPPES Registry Identity

NPI1669384236

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameEVOLVING ROOTS HEALTHCARE-NURSING, INC

Location Address2500 OLD CROW CANYON RD STE 505San Ramon, CA 94583-1623

Mailing Address2500 Old Crow Canyon Rd Ste 505San Ramon, CA 94583-1623 · (510) 495-6828

Phone(510) 495-6828

Organization SubpartNo

Authorized OfficialReginalle Danette GillOwner · (510) 719-9184

Enumeration DateSeptember 19, 2026

NPPES CertifiedSeptember 19, 2026

✔ NPI 1669384236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2500 OLD CROW CANYON RD STE 505, San Ramon, CA 94583

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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 2

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

DR. HARAMANDEEP SINGH MD

Psychiatry & Neurology (Sleep Medicine)

2500 OLD CROW CANYON RD STE 505
SAN RAMON, CA 94583

Contra Costa County (925) 415-5353

ZITA HODGE-WREN PMHNP, FNP, RN, MBA

Nurse Practitioner (Psychiatric/Mental Health)

2500 OLD CROW CANYON RD STE 505
SAN RAMON, CA 94583

Contra Costa County (510) 854-6443

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 Evolving Roots Healthcare-Nursing, Inc's NPI number?

The NPI number for Evolving Roots Healthcare-Nursing, Inc is 1669384236. It was assigned to this organization in the NPPES registry on September 19, 2026.

Where is Evolving Roots Healthcare-Nursing, Inc located?

Evolving Roots Healthcare-Nursing, Inc is located at 2500 Old Crow Canyon Rd Ste 505, San Ramon, CA 94583. The listed phone number is (510) 495-6828.

What is Evolving Roots Healthcare-Nursing, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evolving Roots Healthcare-Nursing, Inc was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.