Healthcare Provider Details

I. General information

NPI: 1649180761
Provider Name (Legal Business Name): LEONA JOYCE FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 ARNOLD DR STE 202
MARTINEZ CA
94553-4190
US

IV. Provider business mailing address

1350 ARNOLD DR STE 202
MARTINEZ CA
94553-4190
US

V. Phone/Fax

Practice location:
  • Phone: 925-313-7755
  • Fax: 925-646-4165
Mailing address:
  • Phone: 925-313-7755
  • Fax: 925-646-4165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-EYVIOQ
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: