CHRISTINE COSTA (NPI# 1407929581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407929581 |
| Entity Type | Individual |
| Full Name | CHRISTINE COSTA |
| Credential | NP |
| Practice Address |
800 N State College Blvd Fullerton CA 92831-3547 |
| Mailing Address |
191 Argonne Ave Ste 3 Long Beach CA 90803-3231 |
| Practice Telephone | 6572783040 |
| Mailing Telephone | 5624346007 |
| Mailing Fax Number | 5628562370 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
568972 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
14122 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699298240 | Christine Costa | Social Worker | 3000 Essex Rd, Tinton Falls, NJ 07753-2400 | 2017-07-25 |
| 1982154290 | Christine Costa | Nurse Practitioner | 191 Bedford St, Fall River, MA 02720-3050 | 2016-10-11 |
| 1417311911 | Christine Elizabeth Costa | Pediatrics | 15 N Broadway, White Plains, NY 10601-2214 | 2016-04-11 |
| 1194875047 | Christine Costa | Nurse Practitioner | 2185 Pacheco St, Concord, CA 94520-2309 | 2007-01-11 |
| Street Address |
800 N STATE COLLEGE BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641013 | Tricia Mikiko Kasamatsu | Specialist/Technologist | 800 N State College Blvd, Attn: Kinesiology, Fullerton, CA 92831-3547 | 2006-06-26 |
| 1720551237 | Merrisa Carlson | Nurse Practitioner | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2019-01-08 |
| 1538639919 | Anna Marie Peery | Midwife | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-11-28 |
| 1558860221 | Samuel Arnold | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-02-07 |
| 1013415967 | Andee Monterone | Student in an Organized Health Care Education/Training Program | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-25 |
| 1184132615 | Kevin Benjamin Perez | Counselor | 800 N State College Blvd, Fullerton, CA 92831-3599 | 2018-01-18 |
| 1487161147 | Holly Vigario | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-03 |
| 1992211403 | Juan Carlos Madrigal | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-12-19 |
| 1134655178 | Elena Soler | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-11 |
| 1982130415 | Jaime Potter | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTINE COSTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.