Provider Demographics
NPI:1063634822
Name:SERVATIUS, JASON A (ND)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:SERVATIUS
Suffix:
Gender:M
Credentials:ND
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Mailing Address - Street 1:1555 BOTELHO DR # 411
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5102
Mailing Address - Country:US
Mailing Address - Phone:925-287-8777
Mailing Address - Fax:925-378-4480
Practice Address - Street 1:1981 N BROADWAY STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3872
Practice Address - Country:US
Practice Address - Phone:925-287-8777
Practice Address - Fax:925-378-4480
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2025-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAND-3082083B0002X
CA308175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine