Individual provider Active NPI

Spencer William Rava

  • Health & Wellness Coach
  • Oakland, CA
National Provider Identifier
1790632172
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
328F549257 Issued in CA
Practice address
303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419
Phone
(510) 834-2443
NPI assigned
Mar 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 328F549257 CA Primary

Addresses

Primary practice location

303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419

Mailing address

303 Hegenberger Rd Ste 400
Oakland, CA 94621-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
328F549257CAMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services Past Accepting new patients
Family Support Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1790632172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HEGENBERGER RD STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HEGENBERGER RD STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211419",
            "telephone_number": "510-834-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVA",
        "first_name": "SPENCER",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "328F549257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.