Healthcare Provider Details

I. General information

NPI: 1528749595
Provider Name (Legal Business Name): NATHAN ARMSTRONG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 G ST STE 125
SACRAMENTO CA
95814-0894
US

IV. Provider business mailing address

3071 JUNIPER ST APT 3
SAN DIEGO CA
92104-5477
US

V. Phone/Fax

Practice location:
  • Phone: 619-300-4095
  • Fax:
Mailing address:
  • Phone: 619-800-8891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: