Organization Active NPI

Healthgenix P.C.

  • Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1215546825
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHGENIX P.C.
Doing business as
HealthBay
Practice address
130 La Casa Via Ste 110
Walnut Creek, CA 94598-3047
Phone
(925) 885-8281
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Olga Izmaylova
Title
Owner
Phone
(415) 250-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

130 La Casa Via Ste 110
Walnut Creek, CA 94598-3047

Mailing address

836 Trotter CT
Walnut Creek, CA 94596-6618
Phone (818) 624-1290

Other names 1

  • HealthBay Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@healthbaymedspa.com

National Provider Directory

National Provider Directory

Locations

130 La Casa Via
Ste 110
Walnut Creek, CA 94598
Phone (925) 476-5379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1215546825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 TROTTER CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966618",
            "telephone_number": "818-624-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983047",
            "telephone_number": "925-885-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHGENIX P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "IZMAYLOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-250-2876"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@healthbaymedspa.com",
            "affiliation": "N",
            "address_1": "130 La Casa Via Ste 110",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945983047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HealthBay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.