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Search › California › 224Z00000X

Andrew Tivilik

NPI 1255126280 · on the registry since 2025

Practice

Address
4380 Auburn Blvd
Sacramento, CA 95841
Phone
(916) 771-8255
Organisation at this address
Jabbergym, Llc
Jabbergym, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California