Premiere Care Management Specialists LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PREMIERE CARE MANAGEMENT SPECIALISTS LLC

Practice address

5179 Lone Tree Way Ste 505
Antioch, CA 94531-8689

Phone

(925) 634-0566

Fax

(925) 303-4563

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Emer Mababangloob Gaite, RNNPI 1750904066

Title

Owner

Phone

(925) 634-0566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emer M Gaite, AGPCNP - BC

  • Primary Care Nurse Practitioner
  • Antioch, CA
  • NPI 1750904066

  Case Management

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1508486374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5179 LONE TREE WAY STE 505",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-634-0566",
            "fax_number": "925-303-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5179 LONE TREE WAY STE 505",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "925-634-0566",
            "fax_number": "925-303-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE CARE MANAGEMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GAITE",
        "authorized_official_first_name": "EMER",
        "authorized_official_middle_name": "MABABANGLOOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-634-0566",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "help@premierecms.biz",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1697 Greenyard Ct",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945135844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Antioch, CA
• Providers in Antioch, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.