Organization Active NPI

Healthy Living Clinic, a Nursing Corporation

  • Primary Care Nurse Practitioner
  • Pinole, CA
National Provider Identifier
1407782113
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HEALTHY LIVING CLINIC, A NURSING CORPORATION
Practice address
1063 San Pablo Ave Ste B
Pinole, CA 94564-2473
Phone
(510) 964-9275
Fax
(888) 804-1432
NPI assigned
Jun 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Yvonne Cobbs, DNP, ANP-C
Title
Ceo
Phone
(510) 964-9275

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Health Maintenance Organization 302R00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1063 San Pablo Ave Ste B
Pinole, CA 94564-2473

Mailing address

1063 San Pablo Ave Ste B
Pinole, CA 94564-2473
Phone (510) 964-9275

National Provider Directory

National Provider Directory

Locations

1063 San Pablo Ave
Ste B
Pinole, CA 94564
Phone (248) 979-6373

NPI Registry JSON

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1407782113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 SAN PABLO AVE STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642473",
            "telephone_number": "510-964-9275",
            "fax_number": "888-804-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 SAN PABLO AVE STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642473",
            "telephone_number": "510-964-9275",
            "fax_number": "888-804-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CLINIC, A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-964-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ANP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.