Individual provider Active NPI

Christine Dyan Chua-Harris

  • Nursing Home Administrator
  • Citrus Heights, CA
National Provider Identifier
1508629973
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
6067752740 Issued in CA
Practice address
6924 Oak Spring Way
Citrus Heights, CA 95621-1226
Phone
(916) 579-9222
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 6067752740 CA Primary

Addresses

Primary practice location

6924 Oak Spring Way
Citrus Heights, CA 95621-1226

Mailing address

6924 Oak Spring Way
Citrus Heights, CA 95621-1226
Phone (916) 579-9222

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

LicenseStateTypeSpecialty
6067752740CAMDNursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1508629973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 OAK SPRING WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211226",
            "telephone_number": "916-579-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 OAK SPRING WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211226",
            "telephone_number": "916-579-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA-HARRIS",
        "first_name": "CHRISTINE DYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "6067752740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.