Healthcare Provider Details

I. General information

NPI: 1083221568
Provider Name (Legal Business Name): CHRISTOPHER BEN BARRAMEDA GO PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5012 CHESEBRO RD STE 200
AGOURA HILLS CA
91301-2287
US

IV. Provider business mailing address

5012 CHESEBRO RD STE 200
AGOURA HILLS CA
91301-2287
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 925-282-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95024932
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number759182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: