Individual provider Active NPI

Christine Valdez De Belen-Wilson, FNP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1770538720
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14396 Issued in CA
Practice address
2425 Alhambra Blvd
Sacramento, CA 95817-1110
Phone
(917) 737-5555
NPI assigned
May 24, 2006
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14396 CA Primary

Addresses

Primary practice location

2425 Alhambra Blvd
Sacramento, CA 95817-1110

Mailing address

5481 Banfield Dr
Sacramento, CA 95835-2166
Phone (916) 225-0896

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000555 CA Practitioner - Nurse Practitioner 1951469949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SacramentoGroup PAC ID 0345231247, 45 clinicians

Practice addresses (Care Compare)

4600 Broadway
Sacramento, CA 95820-1527
Phone (916) 874-9670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14396CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento CurrentSince Jan 1, 2021 Accepting new patients
County of Sacramento CurrentSince Jan 1, 2021 Accepting new patients
Regents of the University of California CurrentSince May 18, 2020 Accepting new patients
Regents of the University of California CurrentSince May 18, 2020 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Interoperability endpoints

  • Direct secure messaging: cdebelenwilson328440@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1770538720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 BANFIELD DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352166",
            "telephone_number": "916-225-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALHAMBRA BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171110",
            "telephone_number": "917-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BELEN-WILSON",
        "first_name": "CHRISTINE",
        "middle_name": "VALDEZ",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "14396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.