Christel N Backert, FNP
Individual provider Active NPI Nurse Practitioner · Lathrop, CA
NPI 1124254842 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1124254842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 18958 (CA)
- Practice address
- 15810 S. Harland Road Ste B
Lathrop, CA 95330-9476 - Phone
- (209) 229-4455
- Fax
- (209) 215-0285
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18958 | CA | MD | Acupuncturist |
| 27454 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18958 | CA | Yes |
Addresses
Primary practice location
15810 S. Harland Road Ste B
Lathrop, CA 95330-9476
Mailing address
15810 S. Harland Road Ste B
Lathrop, CA 95330-9476
Phone (209) 229-4455
Other providers in Lathrop, CA
- David Anslinger
- Aplus Primecare Home Health
- Aplus Primecare Hospice
- Karen Arredondo
- Geet Athwal
- Lovedeep Bains
- Mardo Bamba Mbuyi
- Crisloren Barba-Mendoza
- Joy Viscia Victoria Bareng
- Katie Lea Bentz
All providers in Lathrop, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.