Organization · Type 2 NPI

Everside Health-Antioch

Clinic/Center · Antioch, CA

NPI number 1104604693 Active

Practice location

5201 Deer Valley Rd Ste 1E
Antioch, CA 94531-7430

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104604693

Everside Health-Antioch's National Provider Identifier is 1104604693, issued on Sep 18, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Antioch, CA. The record was last updated on Sep 17, 2026.