Healthcare Provider Details

I. General information

NPI: 1447168695
Provider Name (Legal Business Name): CRISTINA JAVIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST BLDG 208
SAN FRANCISCO CA
94121-1563
US

IV. Provider business mailing address

3901 COLBY WAY
SAN BRUNO CA
94066-1007
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-3810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number162311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: