CMS-1500 Box 24J / 33a • NPI
1760398739
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171400000X
Licensed & Credentialed Health & Wellness Coach
Box 32 Service Location & ZIP+4
30 PHILADELPHIA DR STE B, CHICO, CA, 95973-4932
✓ 9-Digit EDI 837 ZIP+4 (95973-4932)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1760398739 (SAND EMERSON AVILA, MSW, PPS-SSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1760398739 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SAND EMERSON AVILA, MSW, PPS-SSW |
| Plain-English Specialty | Licensed & Credentialed Health & Wellness Coach NUCC Code: 171400000X (Health & Wellness Coach) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 30 PHILADELPHIA DR STE B, CHICO, CA, 95973-4932 |
| Practice Telephone / Fax | Tel: (530) 526-5419 |
| Administrative Mailing Address | 590 ANTELOPE BLVD STE 20, RED BLUFF, CA, 96080-2474 |
| Enumeration & Last Sync | Enumerated: 2026-08-20 | CMS Record Updated: 2026-10-12 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (171400000X)
What Does Taxonomy Code 171400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171400000X translates to:
"Licensed & Credentialed Health & Wellness Coach"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SAND EMERSON AVILA, MSW, PPS-SSW)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1041S0200X — Social Worker, SchoolPlain English: Licensed & Credentialed Social Worker, School | State: CA | License: Verified | Primary: Secondary |
171400000X — Health & Wellness CoachPlain English: Licensed & Credentialed Health & Wellness Coach | State: CA | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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