Christine Melanie Seeley, NURSE PRACTITIONER
Individual provider Active NPI Primary Care Nurse Practitioner · Hayward, CA
NPI 1922519784 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1922519784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 95025666 (CA)
- Practice address
- 27206 Calaroga Ave Ste 205
Hayward, CA 94545-4300 - Phone
- (510) 670-1111
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447
Hospital & facility affiliations
- Contra Costa Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009001503 | CA | Practitioner - Nurse Practitioner | 8628431194 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030964 | CA | MD | Registered Nurse |
| 95025666 | CA | MD | Primary Care Nurse Practitioner |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Primary Care of California PC | Current |
Accepting new patients | |
| Rossmoor Medical Associates Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95030964 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95025666 | CA | Yes |
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
Other providers in Hayward, CA
- Joseph P. Seab
- Ursula Sears
- Jazzmyn Sierra Seay-Jackson
- Second Chance Hayward Recovery Center
- Nathaniel Seeberry
- Akoko Reine Segniho
- Gerardo Segovia
- Dulce Janet Segura Rodriguez
- Celina Segura-Alcaraz
- Carla Segura
All providers in Hayward, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.