Alicia Marie Agundez, WELLNESS COACH II
Individual provider Active NPI Health & Wellness Coach · Patterson, CA
NPI 1861379182 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1861379182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- EE582671BB (CA)
- Practice address
- 200 N 7TH St
Patterson, CA 95363-2215 - Phone
- (209) 620-3445
- NPI assigned
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EE582671BB | CA | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | EE582671BB | CA | Yes |
Addresses
Primary practice location
200 N 7TH St
Patterson, CA 95363-2215
Mailing address
200 N 7TH St
Patterson, CA 95363-2215
Phone (209) 892-4750
Other providers in Patterson, CA
- A Wahid MD Inc a Professional Medical Corporation
- Ali Abdul Wahid
- Kent Walton Allen
- Maria Alicia Anaya
- Nicholas C Anderson
- Anthony Nguyen, OD Inc
- Cler Vicentina Aquillas
All providers in Patterson, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.