JIVA HEALTH, INC – Internal Medicine Physician, NPI 1285223552
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JIVA HEALTH, INC
2182 EAST ST
CONCORD, CA 945202012
Phone: (925) 685-4224
Type: Mailing
2300 Bell Executive Ln
Sacramento, CA 958254068
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
27206 Calaroga Ave Ste 116
Hayward, CA 945454300
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
3330 Clayton Rd Ste A
Concord, CA 945192838
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
3737 Lone Tree Way Ste B
Antioch, CA 945096037
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
141 Sand Creek Rd Ste B
Brentwood, CA 945137346
Phone: (925) 685-4224
Type: Location
909 Hyde St Ste 317
San Francisco, CA 941094841
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
2940 Summit St Ste 1A
Oakland, CA 946093416
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
7677 Oakport St Ste 105
Oakland, CA 946211961
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
1145 Whiskeytown Ct Ste A
Redding, CA 960010227
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
8303 Sierra College Blvd Ste 109B
Roseville, CA 956619420
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
2601 Nut Tree Rd
Vacaville, CA 956876918
Phone: (925) 685-4224
Type: Location
1620 Pennsylvania Ave
Fairfield, CA 945333551
Phone: (925) 685-4224
Type: Location
5173 Lone Tree Way
Antioch, CA 945318689
Phone: (925) 685-4224
Type: Location
130 La Casa Via Ste 208
Walnut Creek, CA 945983033
Phone: (925) 685-4224
Type: Location
215 LENNON LAVE
SUITE 201
WALNUT CREEK, CA 94598
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
1860 Mowry Ave Ste 201
Fremont, CA 945381730
Phone: (925) 685-4224
Fax: (925) 685-6997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (49 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210610003376 | O | Clinic/Group Practice | CA | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94520)
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