# PREMIERE CARE MANAGEMENT SPECIALISTS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508486374
- **Authorized official:** EMER MABABANGLOOB GAITE RN (OWNER)
- **Authorized official phone:** (925) 634-0566

## Contact information

- **Practice address:** 5179 LONE TREE WAY STE 505, ANTIOCH, CA 94531-8689
- **Practice address phone:** (925) 634-0566
- **Practice address fax:** (925) 303-4563
- **Mailing address:** 5179 LONE TREE WAY STE 505, ANTIOCH, CA 94531-8689
- **Mailing address phone:** (925) 634-0566
- **Mailing address fax:** (925) 303-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 11/07/2023