Healthcare Provider Details

I. General information

NPI: 1275241119
Provider Name (Legal Business Name): GIANNA KRYSTAL FLAATEN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20401 SANTA MARIA AVE
CASTRO VALLEY CA
94546-5609
US

IV. Provider business mailing address

4132 KROLOP RD
CASTRO VALLEY CA
94546-1220
US

V. Phone/Fax

Practice location:
  • Phone: 510-216-1086
  • Fax:
Mailing address:
  • Phone: 408-515-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95020792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: