Healthcare Provider Details

I. General information

NPI: 1477497030
Provider Name (Legal Business Name): OWN PATH LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 PESTANA PL
FREMONT CA
94538-6301
US

IV. Provider business mailing address

1074 28TH ST
OAKLAND CA
94608-4547
US

V. Phone/Fax

Practice location:
  • Phone: 415-980-9668
  • Fax:
Mailing address:
  • Phone: 510-684-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: SAFIA SANDRA UWERA
Title or Position: OWNER
Credential:
Phone: 510-684-9272