Provider Demographics
NPI:1407198658
Name:PINEDA, CHRISTINA HELENA (NP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:HELENA
Last Name:PINEDA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 VAILWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4920
Mailing Address - Country:US
Mailing Address - Phone:650-218-5892
Mailing Address - Fax:
Practice Address - Street 1:114 5TH AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3604
Practice Address - Country:US
Practice Address - Phone:650-839-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY659608-1163W00000X
CA95000758363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner