Active NPI
Christina Co, PA-C
- Student in an Organized Health Care Education/Training Program
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1217 S Ramona St
San Gabriel, CA 91776-3223 - Phone
- (626) 592-5040
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1217 S Ramona St
San Gabriel, CA 91776-3223
Mailing address
1217 S Ramona St
San Gabriel, CA 91776-3223
Phone (626) 592-5040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
421 E Merced Ave
West Covina, CA 91790-5023
Phone 6269181881114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63463 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- casacolina@direct.casacolina.org
Organizations & group practices 2
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.
-
- Pediatric Urology Physician
- West Covina, CA
- NPI 1407812332
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
dba Emanate Health Inter-Community Hospital
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1538946108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 S RAMONA ST",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763223",
"telephone_number": "626-592-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S RAMONA ST",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763223",
"telephone_number": "626-592-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO",
"first_name": "CHRISTINA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.