Individual provider Active NPI

Christine T. Eleria, ATC

  • Contractor
  • Fremont, CA
National Provider Identifier
1689770596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
45500 Fremont Blvd
Fremont, CA 94538-6368
Phone
(510) 445-4876
Fax
(510) 445-4884
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

45500 Fremont Blvd
Fremont, CA 94538-6368

Mailing address

1817 Strawberry LN
Milpitas, CA 95035-5015
Phone (510) 445-4876

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689770596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 STRAWBERRY LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355015",
            "telephone_number": "510-445-4876",
            "fax_number": "510-445-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45500 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386368",
            "telephone_number": "510-445-4876",
            "fax_number": "510-445-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELERIA",
        "first_name": "CHRISTINE",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.