Healthcare Provider Details

I. General information

NPI: 1972560381
Provider Name (Legal Business Name): JIVA HEALTH PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2182 EAST ST
CONCORD CA
94520-2012
US

IV. Provider business mailing address

2182 EAST ST
CONCORD CA
94520-2012
US

V. Phone/Fax

Practice location:
  • Phone: 925-685-4224
  • Fax: 925-685-6997
Mailing address:
  • Phone: 310-903-9727
  • Fax: 925-685-6997

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: DR. IMRAN JUNAID
Title or Position: PRESIDENT/OWNER/PHYSICIAN
Credential: MD
Phone: 310-903-9727