OrganizationActive
Everside Health-Antioch
NPI 1104604693 · Preventive Medicine/Occupational Environmental Medicine Physician · Antioch, CA
Provider details
- NPI number
- 1104604693
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jill Patton, Director of Risk Management
Practice location
5201 Deer Valley Rd Ste 1e
Antioch, CA 94531-7430
Phone: (704) 661-1380
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.