Individual provider Active NPI

Cindy Van Lare, NBC-HWC

  • Health & Wellness Coach
  • Oakland, CA
National Provider Identifier
1164003737
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
105280360 Issued in CA
Practice address
5000 Macarthur Blvd CPM 117
Oakland, CA 94613-1301
Phone
(408) 857-4733
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 105280360 CA Primary

Addresses

Primary practice location

5000 Macarthur Blvd CPM 117
Oakland, CA 94613-1301

Mailing address

5000 Macarthur Blvd CPM 117
Oakland, CA 94613
Phone (408) 857-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105280360CAMDHealth & Wellness Coach

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1164003737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MACARTHUR BLVD CPM 117",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94613",
            "telephone_number": "408-857-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MACARTHUR BLVD CPM 117",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946131301",
            "telephone_number": "408-857-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LARE",
        "first_name": "CINDY",
        "credential": "NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "105280360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.