Lifetreat Nursing Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIFETREAT NURSING CORPORATION

Practice address

420 W Acacia St Ste 2
Stockton, CA 95203-2441

Phone

(209) 665-4151

Fax

(209) 665-4452

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Irene W Gaita, APRN-BCNPI 1174284202

Title

FNP Aprn-BC

Phone

(205) 218-6256

Specialties & licenses 1

Addresses

Other names 1

• Lifetreat urgentcare and wellness center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene W Gaita, FNP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1174284202
  Medicare reassignment NPD Authorized official
• Bryan Cabconce Coronel, NP

  • Family Nurse Practitioner
  • Manteca, CA
  • NPI 1710510326
  NPD
• Harpreet Dhaliwal, FNP-C

  • Family Nurse Practitioner
  • Manteca, CA
  • NPI 1528575461

  Single Specialty

  NPD (past)
• Indyana Polley

  • Physician Assistant
  • Modesto, CA
  • NPI 1679036644
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1912699802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 PACIFIC AVE STE 310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073717",
            "telephone_number": "209-665-4151",
            "fax_number": "209-665-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-665-4151",
            "fax_number": "209-665-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETREAT NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "GAITA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FNP APRN-BC",
        "authorized_official_telephone_number": "205-218-6256",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetreat urgentcare and wellness center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Libreros
• Ashlee Liebig
• Terrell W Liedstrand
• Linda Liem, PH.D; LCSW
• Lien Huyen Thi Nguyen, MD., Inc.
• Lifeworks-Acs, Inc.
• Brittany Kiana Lightfoot
• Lighthouse Psychological Services... a Beacon of Light
• Brianna Rose Ligotski, PT, DPT
• Alicia Renae Lillie

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.