Healthcare Provider Details

I. General information

NPI: 1114855020
Provider Name (Legal Business Name): DIVE WELL MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4695 CHABOT DRIVE SUITE 200
PLEASANTON CA
94588
US

IV. Provider business mailing address

2443 FILLMORE ST # 380-8269
SAN FRANCISCO CA
94115-1814
US

V. Phone/Fax

Practice location:
  • Phone: 925-482-6118
  • Fax:
Mailing address:
  • Phone: 925-482-6118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER ALLEN
Title or Position: PRESIDENT
Credential: MD
Phone: 925-482-6118