OrganizationActive
Everside Health Fairfield
NPI 1093585291 · Preventive Medicine/Occupational Environmental Medicine Physician · Fairfield, CA
Provider details
- NPI number
- 1093585291
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1620 Pennsylvania Ave Ste B
Fairfield, CA 94533-3509
Phone: (704) 661-1380
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Wewatta St Ste 350
Denver, CO 80202-5553
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.