Individual provider Active NPI

Christine Au, CPNP

  • Pediatric Nurse Practitioner
  • Cathedral City, CA
National Provider Identifier
1487230843
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95016028 Issued in CA
Practice address
69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344
Phone
(760) 321-6776
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383115 NY
Pediatric Nurse Practitioner 363LP0200X 95016028 CA Primary

Addresses

Primary practice location

69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344

Mailing address

69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344
Phone (760) 321-6776

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
I20210528002231 CA Practitioner - Nurse Practitioner 3678972346 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016028CAMDPediatric Nurse Practitioner
383115NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Oct 1, 2023 Accepting new patients
North East Medical Services CurrentSince Oct 1, 2023 Accepting new patients
County of San Mateo CurrentSince May 6, 2023 Accepting new patients
County of San Mateo CurrentSince May 6, 2023 Accepting new patients
County of San Mateo CurrentSince May 6, 2023 Accepting new patients
North East Medical Services Current Accepting new patients
Dap Health, Inc. Current Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

2633 San Bruno Ave
San Francisco, CA 94134
Phone (888) 500-1886

2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 7

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1487230843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD BLDG A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD BLDG A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "CHRISTINE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383115",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95016028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.