Healthcare Provider Details

I. General information

NPI: 1104746320
Provider Name (Legal Business Name): NERVANA HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 25TH ST
SAN FRANCISCO CA
94114-3815
US

IV. Provider business mailing address

4090 25TH ST
SAN FRANCISCO CA
94114-3815
US

V. Phone/Fax

Practice location:
  • Phone: 916-761-4259
  • Fax:
Mailing address:
  • Phone: 916-761-4259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: NORA RODDEN
Title or Position: CEO & FOUNDER
Credential: MS,MBA
Phone: 916-761-4259