Individual provider Active NPI

Christine Melanie Seeley, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Hayward, CA
National Provider Identifier
1922519784
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95025666 Issued in CA
Practice address
27206 Calaroga Ave Ste 205
Hayward, CA 94545-4300
Phone
(510) 670-1111
NPI assigned
Oct 19, 2017
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95030964 CA
Primary Care Nurse Practitioner 363LP2300X 95025666 CA Primary

Addresses

Primary practice location

27206 Calaroga Ave Ste 205
Hayward, CA 94545-4300

Mailing address

1708 Willow St
Alameda, CA 94501-1433
Phone (510) 612-1708

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
I20241009001503 CA Practitioner - Nurse Practitioner 8628431194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carbon Health Primary Care of California PCGroup PAC ID 8628350626, 22 clinicians

Practice addresses (Care Compare)

2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030964CAMDRegistered Nurse
95025666CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rossmoor Medical Associates Inc CurrentSince Aug 13, 2024 Accepting new patients
Carbon Health Primary Care of California PC CurrentSince Dec 11, 2024 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

132 Vintage Way
Ste F5
Novato, CA 94945
Phone (415) 539-3241

1210 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 299-9022

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1922519784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 WILLOW ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011433",
            "telephone_number": "510-612-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE STE 205",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-670-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELEY",
        "first_name": "CHRISTINE",
        "middle_name": "MELANIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95030964",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95025666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.