Individual provider Active NPI

Christine Ballard Engelbrecht, CRNA

  • Certified Registered Nurse Anesthetist
  • San Ramon, CA
National Provider Identifier
1326195033
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
480733 Issued in CA
Practice address
5201 Norris Canyon Rd Ste 100
San Ramon, CA 94583-5410
Phone
(925) 973-0605
Fax
(925) 973-0653
NPI assigned
Jan 4, 2007
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 480733 CA Primary

Addresses

Primary practice location

5201 Norris Canyon Rd Ste 100
San Ramon, CA 94583-5410

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1010

Other names 1

  • Christine L Melin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000439 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244212595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Practice addresses (Care Compare)

4626 Willow Rd
Suite 100
Pleasanton, CA 94588-8555
Phone (925) 734-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2482CAMDOccupational Therapist
480733CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2018 Accepting new patients
Empire Anesthesia Inc CurrentSince Aug 5, 2009 Accepting new patients
Allen Lavee MD, Inc. Past Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 538-9900

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

4626 Willow Rd
Ste 100
Pleasanton, CA 94588
Phone (925) 462-2334

5201 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 872-1700

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1326195033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835410",
            "telephone_number": "925-973-0605",
            "fax_number": "925-973-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBRECHT",
        "first_name": "CHRISTINE",
        "middle_name": "BALLARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "480733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MELIN",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.