Healthcare Provider Details

I. General information

NPI: 1407796089
Provider Name (Legal Business Name): MRS. GERILIE ANN PINGOL FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 ARROYO RD
LIVERMORE CA
94550-9650
US

IV. Provider business mailing address

5390 FRISANCO WAY
ANTIOCH CA
94531-5040
US

V. Phone/Fax

Practice location:
  • Phone: 925-373-4700
  • Fax:
Mailing address:
  • Phone: 650-730-9140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number809320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: