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NPI Code Detail

MEDICARE: CHRISTOPHER TENGONCIANG NAGMA

MEDICARE: CHRISTOPHER TENGONCIANG NAGMA
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
1106S00000XBehavior Technician
2390200000XStudent in an Organized Health Care Education/Training Program
31041C0700XClinical Social Worker139092CA
4104100000XSocial Worker115948CA

General Provider Information

NPI Number : 1427601301
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER TENGONCIANG NAGMA
Provider Business Mailing Address
First Line : 8945 GOLF LINKS RD
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8945 GOLF LINKS RD
Second Line :
City : OAKLAND
State : CA
Zip : 94605-4124
Country : US
Telephone Number : 800-249-1266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 06/08/2026

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