Organization
INNOVAGE HEALTH PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA D WALTON (CHIEF LEGAL OFFICER)
(720) 974-2459
Entity
Organization
Contact information
Practice address
410 E PARKCENTER CIR N, SAN BERNARDINO, CA 92408-2869
(909) 890-2800
(909) 890-9615
Mailing address
410 E PARKCENTER CIR N, SAN BERNARDINO, CA 92408-2869
(909) 890-2800
(909) 890-9615
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
53735
CA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up