Individual provider Active NPI

Christine Ho

  • Dentist
  • Vallejo, CA
National Provider Identifier
1669830584
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101568 Issued in CA
Practice address
133 Plaza Dr
Vallejo, CA 94591-3703
Phone
(707) 557-6245
NPI assigned
Feb 5, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101568 CA Primary

Addresses

Primary practice location

133 Plaza Dr
Vallejo, CA 94591-3703

Mailing address

1030 Sequoia Ave
Millbrae, CA 94030-3010
Phone (650) 490-0965

Other practice location 1

1400 Market St
Room 8103
Redding, CA 96001-1052
Phone (650) 490-0965

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824003612 CA Order and Referring Only - DentistPractitioner - Dentist 8729350756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101568CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: christine.ho.1@15989.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669830584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SEQUOIA AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940303010",
            "telephone_number": "650-490-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PLAZA DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913703",
            "telephone_number": "707-557-6245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Market St",
            "address_2": "Room 8103",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011052",
            "country_code": "US",
            "telephone_number": "650-490-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.