Healthcare Provider Details

I. General information

NPI: 1912377573
Provider Name (Legal Business Name): MARIA KATRINA CATAMBAY CELLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

3061 FILLMORE ST
SAN FRANCISCO CA
94123-4009
US

V. Phone/Fax

Practice location:
  • Phone: 415-762-3700
  • Fax: 415-865-0119
Mailing address:
  • Phone: 213-455-5033
  • Fax: 888-988-1786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95012949
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: