Active NPI
Christabelle Co MD Inc
- Pediatrics Physician
- South San Francisco, CA
National Provider Identifier
1679083513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A148358
- Legal business name
- CHRISTABELLE CO MD INC
- Practice address
- 161 S Spruce Ave Ste 205
South San Francisco, CA 94080-4517 - Phone
- (650) 808-9848
- Fax
- (650) 808-9848
- NPI assigned
- Oct 5, 2017
- Last updated
- Jun 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christabelle Co, MD
- Title
- Corporate Owner/President
- Phone
- (650) 808-9858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A148358 | CA | Primary |
Addresses
Primary practice location
161 S Spruce Ave Ste 205
South San Francisco, CA 94080-4517
Mailing address
161 S Spruce Ave Ste 205
South San Francisco, CA 94080-4517
Phone (650) 808-9848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4066595 | Other | CA | CORPORATION |
| A148358 | Other | CA | CALIFORNIA MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- South San Francisco, CA
- NPI 1669887931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1679083513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 S SPRUCE AVE STE 205",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940804517",
"telephone_number": "650-808-9848",
"fax_number": "650-808-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 S SPRUCE AVE STE 205",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940804517",
"telephone_number": "650-808-9848",
"fax_number": "650-808-9848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTABELLE CO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "CO",
"authorized_official_first_name": "CHRISTABELLE",
"authorized_official_title_or_position": "CORPORATE OWNER/PRESIDENT",
"authorized_official_telephone_number": "650-808-9858",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A148358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION",
"identifier": "4066595",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LICENSE",
"identifier": "A148358",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.