Individual provider Active NPI

Cristina G Christopher, PAC

  • Internal Medicine Physician
  • Glendora, CA
National Provider Identifier
1235378613
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA20581 Issued in CA
Practice address
640 W Foothill Blvd
Suite 100
Glendora, CA 91741-2403
Phone
(626) 335-4041
Fax
(626) 335-3768
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA20581 CA Primary

Addresses

Primary practice location

640 W Foothill Blvd
Suite 100
Glendora, CA 91741-2403

Mailing address

640 W Foothill Blvd
Suite 100
Glendora, CA 91741-2403
Phone (626) 335-4041

Other names 1

  • Cristina Gutierrez Former name

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
I20120209000076 CA Practitioner - Physician Assistant 4486710621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20581CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: cristina.christopher.p157@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1235378613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412403",
            "telephone_number": "626-335-4041",
            "fax_number": "626-335-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412403",
            "telephone_number": "626-335-4041",
            "fax_number": "626-335-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "CRISTINA",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "PA20581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "GUTIERREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.