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Organization
CARDEA HEALTH
Active
Organization
CARDEA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS CHETTIAR ACNP-BC, PHD (CEO)
(510) 207-8622
Entity
Organization
Contact information
Practice address
8350 EDES AVE, OAKLAND, CA 94621-1307
(510) 207-8622
Mailing address
8400 EDES AVE, OAKLAND, CA 94621-1306
(510) 207-8622
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
10/25/2021
Last updated
10/06/2026
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