Active NPI
Kristina Marie Debattista, PHARM.D.
- Pharmacist
- Half Moon Bay, CA
National Provider Identifier
1922450857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74367
- Practice address
- 115 Del Monte Rd
Half Moon Bay, CA 94019-4916 - Phone
- (650) 533-2355
- NPI assigned
- Jul 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74367 | CA | Primary |
Addresses
Primary practice location
115 Del Monte Rd
Half Moon Bay, CA 94019-4916
Mailing address
115 Del Monte Rd
Half Moon Bay, CA 94019-4916
Phone (650) 533-2355
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74367 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467504000000",
"number": "1922450857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DEL MONTE RD",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940194916",
"telephone_number": "650-533-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DEL MONTE RD",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940194916",
"telephone_number": "650-533-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBATTISTA",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-03",
"last_updated": "2016-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
- Glenda Marina Cruz Viramontes
- Patricia Poage Hough Dailey, M. D.
- Joshua Darosa
- Bonnie Jeanette Darrouzet-Nardi, ASW135213
- Colin De Miranda, LCSW
- Derek H. Tang DDS Inc.
- Dr Jeremiah Kloss DC Encourage Chiropractic
- Dr. Veronica Lam, O.D., Inc.
- El Centro de Libertad/the Freedom Center, Inc.
- Elder Manage Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.