| Christina Chavez-johnson Md, Inc | |
|
10 Crow Canyon Ct Ste 210 San Ramon CA 94583-1980 | |
| (808) 631-8522 | |
| Not Available |
| Full Name | Christina Chavez-johnson Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Crow Canyon Ct Ste 210, San Ramon, California |
| Authorized Official Name and Position | Frederick Kehret (ADMINISTRATOR) |
| Authorized Official Contact | 8086318522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Chavez-johnson Md, Inc 10 Crow Canyon Ct Ste 210 San Ramon CA 94583-1980 Ph: (808) 631-8522 | Christina Chavez-johnson Md, Inc 10 Crow Canyon Ct Ste 210 San Ramon CA 94583-1980 Ph: (808) 631-8522 |
| NPI Number | 1336955699 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Medicare PECOS PAC ID | 8820518020 |
|---|---|
| Medicare Enrollment ID | O20250218002742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336955699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christina R Chavez-johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568763233 PECOS PAC ID: 4880856145 Enrollment ID: I20120502000414 |
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