Healthcare Provider Details

I. General information

NPI: 1710865795
Provider Name (Legal Business Name): PRAVENTA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 IRVINE CENTER DR STE 200
IRVINE CA
92618-2933
US

IV. Provider business mailing address

7545 IRVINE CENTER DR STE 200
IRVINE CA
92618-2933
US

V. Phone/Fax

Practice location:
  • Phone: 949-285-6888
  • Fax:
Mailing address:
  • Phone: 949-285-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LAVANCE NORTHINGTON I
Title or Position: CEO
Credential:
Phone: 949-285-6888