PREMIUM PSYCHIATRIC CARE NURSING -PC NPI 1245061340

NPI Information

  • NPI: 1245061340
  • Provider Name: PREMIUM PSYCHIATRIC CARE NURSING -PC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 4695 CHABOT DR STE 200
    PLEASANTON, CA
    ZIP 94588
  • Phone: (925) 261-7728

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NPI Details

PREMIUM PSYCHIATRIC CARE NURSING -PC is a psychiatric/mental health nurse practitioner in Pleasanton, CA. PREMIUM PSYCHIATRIC CARE NURSING -PC NPI is 1245061340. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

4695 CHABOT DR STE 200
PLEASANTON, CA
ZIP 94588-756
Phone: (925) 261-7728
Fax: (925) 420-8625

The provider's authorized official is Abibat Ajiboye .
The authorized official title is Ceo and has the following contact phone number (925) 261-7728.

The enumeration date for this NPI number is 8/10/2024 and was last updated on 4/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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