Healthcare Provider Details

I. General information

NPI: 1144743386
Provider Name (Legal Business Name): CHRISTINE CAVE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 GLADSTONE DR
PITTSBURG CA
94565-5123
US

IV. Provider business mailing address

2220 GLADSTONE DR
PITTSBURG CA
94565-5123
US

V. Phone/Fax

Practice location:
  • Phone: 925-432-3318
  • Fax: 925-432-4590
Mailing address:
  • Phone: 925-432-3318
  • Fax: 925-432-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number675666
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95007526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: