Healthcare Provider Details

I. General information

NPI: 1518046986
Provider Name (Legal Business Name): CHRISTOPHER N TRAVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 COYLE AVE STE 220
CARMICHAEL CA
95608-0303
US

IV. Provider business mailing address

6555 COYLE AVE STE 220
CARMICHAEL CA
95608-0303
US

V. Phone/Fax

Practice location:
  • Phone: 916-241-9677
  • Fax: 916-435-4288
Mailing address:
  • Phone: 916-241-9677
  • Fax: 916-435-4288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG076524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: