Healthcare Provider Details

I. General information

NPI: 1225975097
Provider Name (Legal Business Name): BRADY CHRISTIAN LENDEWIG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 NEVADA ST
AUBURN CA
95603-4617
US

IV. Provider business mailing address

4185 BUFFALO RD
AUBURN CA
95602-7903
US

V. Phone/Fax

Practice location:
  • Phone: 530-887-1300
  • Fax: 530-328-2811
Mailing address:
  • Phone: 916-932-3160
  • Fax: 916-932-3160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: