Active NPI
Cristina G Christopher, PAC
- Internal Medicine Physician
- Glendora, CA
National Provider Identifier
1235378613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PA20581
- 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
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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20581 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Glendora, CA
- NPI 1922316751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.