Provider Demographics
NPI:1265404537
Name:HOPSON, CHRISTINA T (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:T
Last Name:HOPSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4049 FIRST STREET
Mailing Address - Street 2:SUITE 134
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551
Mailing Address - Country:US
Mailing Address - Phone:925-371-2388
Mailing Address - Fax:924-371-2869
Practice Address - Street 1:7788 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2923
Practice Address - Country:US
Practice Address - Phone:925-237-9795
Practice Address - Fax:925-800-3058
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68940207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A68940Medicaid
CA020A68942Medicare PIN
CA440003423Medicare PIN
H25545Medicare UPIN
CA020A68940Medicaid