Healthcare Provider Details

I. General information

NPI: 1316869563
Provider Name (Legal Business Name): CELINA ESQUIVIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ANSEL AVE APT 310
BURLINGAME CA
94010-3896
US

IV. Provider business mailing address

601 ANSEL AVE APT 310
BURLINGAME CA
94010-3896
US

V. Phone/Fax

Practice location:
  • Phone: 650-580-5537
  • Fax:
Mailing address:
  • Phone: 650-580-5537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95229452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: