PREMIERE CARE MANAGEMENT SPECIALISTS LLC
NPI 1508486374
Nurse Practitioner - Primary Care in Antioch, CA

Active since April 22, 2020
5179 LONE TREE WAY STE 505, ANTIOCH, CA 94531(925) 634-0566(925) 303-4563 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Apr 22, 2020 (2 updates tracked since 2020).

About Premiere Care Management Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERE CARE MANAGEMENT SPECIALISTS LLC (NPI 1508486374) is a healthcare organization registered as a primary care in Antioch, California and active in the NPI registry since April 2020. The organization lists Emer Mababangloob Gaite, Owner, as its authorized official.

NPPES Registry Identity

NPI1508486374
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePREMIERE CARE MANAGEMENT SPECIALISTS LLC
Location Address5179 LONE TREE WAY STE 505Antioch, CA 94531-8689
Mailing Address5179 Lone Tree Way Ste 505Antioch, CA 94531-8689 · (925) 634-0566 · Fax (925) 303-4563
Fax(925) 303-4563
Organization SubpartNo
Authorized OfficialEmer Mababangloob GaiteOwner · (925) 634-0566
Enumeration DateApril 22, 2020
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1508486374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
5179 LONE TREE WAY STE 505, Antioch, CA 94531

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
5179 LONE TREE WAY STE 505
ANTIOCH, CA 94531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiere Care Management Specialists LLC's NPI number?

The NPI number for Premiere Care Management Specialists LLC is 1508486374. It was assigned to this organization in the NPPES registry on April 22, 2020.

Where is Premiere Care Management Specialists LLC located?

Premiere Care Management Specialists LLC is located at 5179 Lone Tree Way Ste 505, Antioch, CA 94531. The listed phone number is (925) 634-0566.

What is Premiere Care Management Specialists LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Premiere Care Management Specialists LLC was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.