CRISTIAN CONTRERAS
NPI 1861196602
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since March 27, 2023PECOS Enrolled
1310 CLUB DR, VALLEJO, CA 94592(773) 946-2398 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cristian Contreras NPPES

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

CRISTIAN CONTRERAS (NPI 1861196602) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861196602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCRISTIAN CONTRERAS
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address7723 N Octavia AveNiles, IL 60714-4750 · (773) 946-2398
Sole ProprietorYes
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1861196602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License NA (IL)
1310 CLUB DR, Vallejo, CA 94592

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cristian Contreras is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592

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 Cristian Contreras's NPI number?

The NPI number for Cristian Contreras is 1861196602. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Cristian Contreras located?

Cristian Contreras practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (773) 946-2398.

What is Cristian Contreras's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cristian Contreras enrolled in Medicare?

Yes. Cristian Contreras is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cristian Contreras was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.