Premise Health of California Medical PC
Organization Active NPI Multi-Specialty Clinic/Center · Foster City, CA
NPI 1508435751 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1508435751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PREMISE HEALTH OF CALIFORNIA MEDICAL PC
- Practice address
- 305 Velocity Way
Foster City, CA 94404-4803 - Phone
- (650) 524-0820
- Fax
- (650) 267-6148
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 24
Practitioners 2
-
Jackson Huang, NP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2254899 | Be Well Clinic Powered by Premise Health | Certificate of waiver | Mar 7, 2028 |
National Provider Directory
- Tax ID family
- Premise Health of California Medical PC
Locations
305 Velocity Way
Foster City, CA 94404
Phone (650) 524-0820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
305 Velocity Way
Foster City, CA 94404-4803
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Other names
- Be Well Clinic powered by Premise Health
NPI Registry JSON
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1508435751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 VELOCITY WAY",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944044803",
"telephone_number": "650-524-0820",
"fax_number": "650-267-6148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF CALIFORNIA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-407-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Be Well Clinic powered by Premise Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Foster City, CA
- Jason Pierce
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- Katrina M Polonsky
- Marilyn Denise Ponce de Leon
- Carla Jean Porter-Pursnani
- Jing-Jing Qian
- Lauren Grace Quan
- Xiaoying Quan
- Jason Quock
- Stephen Alan Quon
All providers in Foster City, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.