Healthcare Provider Details

I. General information

NPI: 1235040684
Provider Name (Legal Business Name): COPPER TREE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S POWER RD STE 207
MESA AZ
85206-5238
US

IV. Provider business mailing address

3082 LUSITANA DR
LIVERMORE CA
94550-9685
US

V. Phone/Fax

Practice location:
  • Phone: 480-414-2568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAKET SANJAY BHANVADIA
Title or Position: MANAGER
Credential:
Phone: 925-791-1085