Provider Demographics
NPI:1013792514
Name:PIPPEN HEALTH OF CALIFORNIA, P.C., A CALIFORNIA PROFESSIONAL CORPORATI
Entity Type:Organization
Organization Name:PIPPEN HEALTH OF CALIFORNIA, P.C., A CALIFORNIA PROFESSIONAL CORPORATI
Other - Org Name:FOUND HEALTH, INC., A DELAWARE CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDGEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:425-306-0834
Mailing Address - Street 1:1023 SPRINGDALE RD STE 13A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-2465
Mailing Address - Country:US
Mailing Address - Phone:512-270-0190
Mailing Address - Fax:
Practice Address - Street 1:333 BUSH ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2854
Practice Address - Country:US
Practice Address - Phone:425-306-0834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty