Healthcare Provider Details

I. General information

NPI: 1861270795
Provider Name (Legal Business Name): EXXCEED WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21297 FOOTHILL BLVD SUITE 203
HAYWARD CA
94541
US

IV. Provider business mailing address

21297 FOOTHILL BLVD, UNIT 203,
HAYWARD CA
94541
US

V. Phone/Fax

Practice location:
  • Phone: 415-636-9700
  • Fax:
Mailing address:
  • Phone: 415-636-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEFRETIRI BARGOLA ABAT
Title or Position: CEO/FOUNDER
Credential: JD, PMHNP-BC
Phone: 415-636-9700