MEDICARE: SIGNE CHAMBERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist	153957	CA

General Provider Information

NPI Number	:	1235941956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIGNE CHAMBERS

Provider Business Mailing Address
First Line	:	5674 STONERIDGE DR STE 207
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 BROADWAY STE 250
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2214
Country	:	US
Telephone Number	:	925-520-0005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	04/11/2025

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Directions to “ SIGNE CHAMBERS ” Practice Location

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