Individual provider Active NPI

Cristiane Campelo-Hess, NP

  • Nurse Practitioner
  • San Leandro, CA
National Provider Identifier
1881395606
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024460 Issued in CA
Practice address
13851 E 14TH St Ste 305
San Leandro, CA 94578-2630
Phone
(925) 418-0279
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 95024460 CA Primary

Addresses

Primary practice location

13851 E 14TH St Ste 305
San Leandro, CA 94578-2630

Mailing address

2345 Country Hills Dr
Antioch, CA 94509-7319
Phone (925) 418-0279

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
I20230621001407 CA Practitioner - Nurse Practitioner 7911365143 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Care CurrentSince May 1, 2023 Accepting new patients

Locations

2345 Country Hills Dr
Antioch, CA 94509
Phone (925) 418-0278

13851 E 14th St
Ste 305
San Leandro, CA 94578
Phone (510) 351-1193

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

Interoperability endpoints

  • Direct secure messaging: chess130412@ehr.johnmuirhealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1881395606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COUNTRY HILLS DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097319",
            "telephone_number": "925-418-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 305",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "925-418-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPELO-HESS",
        "first_name": "CRISTIANE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.