Individual provider Active NPI

Christine Rose Hodgson, PNP

  • Pediatric Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1215162490
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11021 Issued in CA
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

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001654 CA Practitioner - Nurse Practitioner 1951612852 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11021CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Oct 20, 2025 Accepting new patients
One Medical Group, Inc. CurrentSince Oct 20, 2025 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.

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

Verify at the official NPI Registry.