Healthcare Provider Details

I. General information

NPI: 1376958405
Provider Name (Legal Business Name): CHRISTYN MARSHALL DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTYN ROSSITER DPM

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 DIABLO RD STE 201
DANVILLE CA
94526-3410
US

IV. Provider business mailing address

380 DIABLO RD STE 201
DANVILLE CA
94526-3410
US

V. Phone/Fax

Practice location:
  • Phone: 925-381-1898
  • Fax: 925-831-4910
Mailing address:
  • Phone: 925-831-1898
  • Fax: 925-831-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5354
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number5354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: