Healthcare Provider Details
I. General information
NPI: 1114882412
Provider Name (Legal Business Name): 1-TO-1 PEDIATRICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
911 SAN RAMON VALLEY BLVD STE 100
DANVILLE CA
94526-4037
US
IV. Provider business mailing address
911 SAN RAMON VALLEY BLVD STE 100
DANVILLE CA
94526-4037
US
V. Phone/Fax
- Phone: 925-324-3920
- Fax: 925-838-6329
- Phone: 925-324-3920
- Fax: 925-838-6329
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREW
LOREN
NASH
Title or Position: OWNER
Credential: MD
Phone: 925-324-3920