Organization Active NPI

Fellow Health Inc.

  • Clinical Medical Laboratory
  • San Leandro, CA
National Provider Identifier
1629548615
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FELLOW HEALTH INC.
Practice address
1933 Davis St Ste 249
San Leandro, CA 94577-1210
Phone
(650) 532-3882
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Jill Pietig
Title
Director of Business Operations
Phone
(650) 532-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1933 Davis St Ste 249
San Leandro, CA 94577-1210

Mailing address

1933 Davis St Ste 249
San Leandro, CA 94577-1210
Phone (802) 363-3782

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2177822Fellow Health Inc.1933 Davis Street Suite 249, San Leandro, CA 94577AccreditationMar 15, 2028

National Provider Directory

National Provider Directory

Locations

1933 Davis St
Ste 249
San Leandro, CA 94577
Phone (650) 532-3882

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1629548615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 DAVIS ST STE 249",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771210",
            "telephone_number": "802-363-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 DAVIS ST STE 249",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771210",
            "telephone_number": "650-532-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOW HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "PIETIG",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "650-532-3882"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.