# HEALTHDRIVE MEDICAL SERVICES OF CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073218913
- **Authorized official:** DANIEL BAKER (PRESIDENT)
- **Authorized official phone:** (888) 964-6681

## Contact information

- **Practice address:** 99 ALMADEN BLVD STE 600, SAN JOSE, CA 95113-1605
- **Practice address phone:** (888) 964-6681
- **Practice address fax:** (888) 662-0859
- **Mailing address:** 100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
- **Mailing address phone:** (617) 964-6681
- **Mailing address fax:** (339) 686-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 03/31/2023
