Organization Active NPI

Personal Health Design Health Coaching

  • Health & Wellness Coach
  • Concord, CA
National Provider Identifier
1780320457
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
PERSONAL HEALTH DESIGN HEALTH COACHING
Practice address
2300 Stanwell Dr Ste a
Concord, CA 94520-4841
Phone
(510) 224-0744
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Maya Parker
Title
Sr. Health Coach
Phone
(510) 223-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

2300 Stanwell Dr Ste a
Concord, CA 94520-4841

Mailing address

2300 Stanwell Dr Ste a
Concord, CA 94520-4841
Phone (510) 224-0744

National Provider Directory

National Provider Directory

Locations

2300 Stanwell Dr
Ste A
Concord, CA 94520
Phone (510) 224-0744

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1780320457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 STANWELL DR STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204841",
            "telephone_number": "510-224-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 STANWELL DR STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204841",
            "telephone_number": "510-224-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEALTH DESIGN HEALTH COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "SR. HEALTH COACH",
        "authorized_official_telephone_number": "510-223-0744"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.