Healthcare Provider Details

I. General information

NPI: 1881894483
Provider Name (Legal Business Name): MINDFUL HEALTH SOLUTIONS A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2007
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 POST ST STE 500
SAN FRANCISCO CA
94108-4908
US

IV. Provider business mailing address

1020 SUNCAST LN SUITE 108
EL DORADO HILLS CA
95762-9335
US

V. Phone/Fax

Practice location:
  • Phone: 844-867-8444
  • Fax: 415-964-5419
Mailing address:
  • Phone: 916-932-0380
  • Fax: 916-932-0381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA85302
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TOBIAS FRANCIS MARTON
Title or Position: OWNER
Credential: MD
Phone: 619-988-4863