Active NPI
Christine Dalva, FNP, RN, PHN
- Family Nurse Practitioner
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Adventist Health Mendocino Coast
- Sutter Lakeside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.97 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Medical Group | Current | Accepting new patients | |
| Redwood Fam Dermatology Medical Associates - a Medical Corporation | Current | 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
- 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.
-
- Dermatology Physician
- Santa Rosa, CA
- NPI 1710913231
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.