Healthcare Provider Details

I. General information

NPI: 1356699912
Provider Name (Legal Business Name): JANICE BEVERLY T. CAHAMBING ANP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 BERNAL AVE
PLEASANTON CA
94566-6986
US

IV. Provider business mailing address

3020 BERNAL AVE STE 110
PLEASANTON CA
94566-6986
US

V. Phone/Fax

Practice location:
  • Phone: 860-518-4629
  • Fax: 754-218-0725
Mailing address:
  • Phone: 510-598-9182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number21955
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number21955
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number21955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: