Premiere Care Management Specialists LLC
NPI 1508486374ActiveOrganization· Nurse Practitioner, Primary Care· Antioch, CA
Nurse Practitioner, Primary Care in Antioch, California, registered in NPPES in April 2020. The authorized official on file is Emer Mababangloob Gaite, RN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508486374 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2020 |
| Last updated in NPPES | Nov 7, 2023 |
| Certified by provider | Nov 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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