Active NPI
Christine Rose Hodgson, PNP
- Pediatric Nurse Practitioner
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11021
- Practice address
- 1004 Northgate Dr
San Rafael, CA 94903-2502 - Phone
- (415) 658-6791
- Fax
- (415) 520-0904
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11021 | CA | Primary |
Addresses
Primary practice location
1004 Northgate Dr
San Rafael, CA 94903-2502
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Embarcadero Ctr
Suite 1900
San Francisco, CA 94111-3723
1004 Northgate Dr
San Rafael, CA 94903-2502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc | Current | Accepting new patients | |
| One Medical Group, Inc. | Current | Accepting new patients | |
| Acorn Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
1801 Shattuck Ave
Ste A
Berkeley, CA 94709
Phone (510) 225-1025
329 Primrose Rd
Burlingame, CA 94010
Phone (650) 288-1200
350 Bon Air Ctr
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095
590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744
1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba One Medical Group
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1215162490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 NORTHGATE DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032502",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "CHRISTINE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "11021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.