Active NPI
Family Whole Health PC
- Pediatrics Physician
- Walnut Creek, CA
National Provider Identifier
1295570067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FAMILY WHOLE HEALTH PC
- Practice address
- 1990 N California Blvd
Walnut Creek, CA 94596-3742 - Phone
- (800) 491-2142
- Fax
- (800) 491-2142
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Adonica Shaw
- Title
- Manager
- Phone
- (800) 491-2142
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1990 N California Blvd
Walnut Creek, CA 94596-3742
Mailing address
1990 N California Blvd
Walnut Creek, CA 94596-3742
Phone (800) 491-2142
National Provider Directory
National Provider DirectoryLocations
1990 N California Blvd
Walnut Creek, CA 94596
Phone (800) 491-2142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1295570067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 N CALIFORNIA BLVD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963742",
"telephone_number": "800-491-2142",
"fax_number": "800-491-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 N CALIFORNIA BLVD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963742",
"telephone_number": "800-491-2142",
"fax_number": "800-491-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY WHOLE HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "ADONICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "800-491-2142",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.