Healthcare Provider Details

I. General information

NPI: 1881507663
Provider Name (Legal Business Name): I3 ELEMENTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39652 MISSION BLVD
FREMONT CA
94539-3000
US

IV. Provider business mailing address

2369 CANTALISE DR
DUBLIN CA
94568-7835
US

V. Phone/Fax

Practice location:
  • Phone: 408-221-8413
  • Fax:
Mailing address:
  • Phone: 408-221-8413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SATPAL DHILLON
Title or Position: MANAGING MEMBER
Credential:
Phone: 408-221-8413