Healthcare Provider Details
I. General information
NPI: 1245748201
Provider Name (Legal Business Name): WORKIT HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1460 MARIA LN STE 300
WALNUT CREEK CA
94596-5314
US
IV. Provider business mailing address
PO BOX 96360
PHOENIX AZ
85072-6360
US
V. Phone/Fax
- Phone: 925-395-4255
- Fax:
- Phone: 855-408-1143
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AUDRA
FICKEN
Title or Position: SR. RCM MANAGER
Credential:
Phone: 855-408-1143