Healthcare Provider Details

I. General information

NPI: 1992407100
Provider Name (Legal Business Name): ANNA KATJA MARIA CHESTERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PLAZA DR
ROSEVILLE CA
95661-3037
US

IV. Provider business mailing address

7 MEDICAL PLAZA DR STE 430
ROSEVILLE CA
95661-3116
US

V. Phone/Fax

Practice location:
  • Phone: 916-755-7177
  • Fax:
Mailing address:
  • Phone: 916-755-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA210083
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: