Individual provider Active NPI

Christine Dalva, FNP, RN, PHN

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1942690599
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001970 Issued in CA
Practice address
555 S Dora St
Ukiah, CA 95482-5424
Phone
(707) 462-3996
Fax
(707) 462-3363
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 836389 CA
Family Nurse Practitioner 363LF0000X 95001970 CA Primary

Addresses

Primary practice location

555 S Dora St
Ukiah, CA 95482-5424

Mailing address

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

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
I20150701001063 CA Practitioner - Nurse Practitioner 5991017139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Current Accepting new patients
Redwood Fam Dermatology Medical Associates - a Medical Corporation CurrentSince May 10, 2022 Accepting new patients

Locations

1030 Sir Francis Drake Blvd
Ste 110
Kentfield, CA 94904
Phone (415) 461-1036

5150 Hill Rd E
Ste D
Lakeport, CA 95453
Phone (707) 262-5000

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 542-6313

4727 Hoen Ave
Ste A
Santa Rosa, CA 95405
Phone (707) 527-0342

555 S Dora St
Ukiah, CA 95482
Phone (707) 462-0581

Interoperability endpoints

  • Direct secure messaging: cdalva@rfd.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1942690599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032805",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825424",
            "telephone_number": "707-462-3996",
            "fax_number": "707-462-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALVA",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "836389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.