Lifestylerx California PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFESTYLERX CALIFORNIA PC

Doing business as

LifestyleRx

Practice address

580 California St FL 12
San Francisco, CA 94104-1033

Phone

(778) 653-2427

NPI assigned

May 8, 2024

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Abraham, MDNPI 1760595136

Title

Owner

Phone

(417) 708-2464

Specialties & licenses 1

Addresses

Other names 1

• LifestyleRx Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John L Abraham, M.D.

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1760595136
  NPD Authorized official
• Judith Lynne Willis, MPH RD CD CDCES

  • Registered Dietitian
  • Bellingham, WA
  • NPI 1821159039
  NPD
• Carina Cezar Hopen, M.D.

  • Family Medicine Physician
  • Oak Harbor, WA
  • NPI 1437139417
  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1972351617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY RD STE 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385815",
            "telephone_number": "778-653-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CALIFORNIA ST FL 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041033",
            "telephone_number": "778-653-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLERX CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-708-2464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifestyleRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifang Liang Acupuncture & Herbal Medicine Clinic
• Life Chiropractic SF
• Life Gate Acupuncture
• Life Learning Academy
• Leah Life, DDS
• Lifewave Psychiatry
• Adriana Joanna Liggins
• Hannah Light-Olson, MD
• Holly Grace Light, M.B.A.
• Isabel Light

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.