Basic Information
Provider Information
NPI: 1205922630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARBIZU
FirstName: CHERI
MiddleName: L
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 365 LENNON LN 250
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945985915
CountryCode: US
TelephoneNumber: 9259488143
FaxNumber: 9252154540
Practice Location
Address1: 1776 YGNACIO VALLEY RD 201
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945983125
CountryCode: US
TelephoneNumber: 9252880828
FaxNumber: 9252880829
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 12/18/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X538722CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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