Active NPI
Cristofer Predebon
- Contractor
- Irvine, CA
National Provider Identifier
1437532280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 10604
- Practice address
- 631 Hayes
Irvine, CA 92620-3777 - Phone
- (949) 201-8981
- NPI assigned
- Jun 29, 2015
- Last updated
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 10604 | CA | Primary |
Addresses
Primary practice location
631 Hayes
Irvine, CA 92620-3777
Mailing address
631 Hayes
Irvine, CA 92620-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10604 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1437532280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 HAYES",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 HAYES",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203777",
"telephone_number": "949-201-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREDEBON",
"first_name": "CRISTOFER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "10604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
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- Precision Testing Labs LLC (Lynk Diagnostics)
- Premier Acupuncture & Wellness, Inc.
- Premier Senior Care, LLC
- Premise Health of California Medical PC (B Well Health Center)
- Premise Health of California Medical PC
- Premium Health Oc Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.