Healthcare Provider Details

I. General information

NPI: 1932462413
Provider Name (Legal Business Name): JAVI L HARTENSTINE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W LAS POSITAS BLVD
PLEASANTON CA
94588-4000
US

IV. Provider business mailing address

5555 W LAS POSITAS BLVD
PLEASANTON CA
94588-4000
US

V. Phone/Fax

Practice location:
  • Phone: 925-847-3000
  • Fax:
Mailing address:
  • Phone: 925-847-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberU3407
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number6530
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number20A14783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: