Provider Demographics
NPI:1043470446
Name:BILYEU, CHRISTINA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:Y
Last Name:BILYEU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:Y
Other - Last Name:WALLACE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2025 MORSE AVE
Mailing Address - Street 2:THE PERMANENTE MEDICAL GROUP, INC
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2115
Mailing Address - Country:US
Mailing Address - Phone:916-973-4967
Mailing Address - Fax:916-973-7461
Practice Address - Street 1:2025 MORSE AVE
Practice Address - Street 2:THE PERMANENTE MEDICAL GROUP, INC
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2115
Practice Address - Country:US
Practice Address - Phone:916-973-4967
Practice Address - Fax:916-973-7461
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1367322084P0800X
FLTRN12390390200000X
OH35.1214662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program