Healthcare Provider Details

I. General information

NPI: 1851238489
Provider Name (Legal Business Name): EQUIVERA HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 MARINA VILLAGE PKWY STE 101
ALAMEDA CA
94501-1033
US

IV. Provider business mailing address

1050 MARINA VILLAGE PKWY STE 101
ALAMEDA CA
94501-1033
US

V. Phone/Fax

Practice location:
  • Phone: 510-227-5540
  • Fax:
Mailing address:
  • Phone: 510-227-5540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAGMOHAN S KHAIRA
Title or Position: CEO
Credential: MD
Phone: 510-205-5796