Organization Active NPI

Myo Family Health, LLC

  • Specialist
  • Fairfield, CA
National Provider Identifier
1922765783
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MYO FAMILY HEALTH, LLC
Practice address
490 Chadbourne Rd
Fairfield, CA 94534-9613
Phone
(707) 631-1550
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Amy Kathleen Rondoni, RDHNPI 1477210425
Title
Owner
Phone
(707) 631-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

490 Chadbourne Rd
Fairfield, CA 94534-9613

Mailing address

597 Rolling Oak CT
Vacaville, CA 95688-1001
Phone (707) 631-1550

Other names 1

  • Myo Family Health, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

490 Chadbourne Rd
Fairfield, CA 94534
Phone (707) 422-0464

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1922765783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 ROLLING OAK CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956881001",
            "telephone_number": "707-631-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349613",
            "telephone_number": "707-631-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "RONDONI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-631-1550",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myo Family Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.