Individual provider Active NPI

Cristina Tobon-Chung, FNP

  • Family Nurse Practitioner
  • La Mesa, CA
National Provider Identifier
1053735019
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000209 Issued in CA
Practice address
4579 Maple Ave
Suite 1
La Mesa, CA 91941-3154
Phone
(619) 410-9554
Fax
(877) 992-4893
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000209 CA Primary

Addresses

Primary practice location

4579 Maple Ave
Suite 1
La Mesa, CA 91941-3154

Mailing address

1215 Hopland CT
Chula Vista, CA 91913-1438
Phone (619) 410-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228000892 CA Practitioner - Nurse Practitioner 1951602549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7227 Broadway
Suite 402
Lemon Grove, CA 91945-1505
Phone (619) 253-6451

Hospital & facility affiliations

  • Good Samaritan Home Health Inc Home health agency, National City, CA, CCN 757272
  • Vital Care Health Systems Home health agency, San Diego, CA, CCN 059398
  • New Century Home Health, Inc Home health agency, Simi Valley, CA, CCN 058377
  • Total Home Health Home health agency, Glendale, CA, CCN 557468
  • Healthwise Home Health Care Inc Home health agency, National City, CA, CCN 059418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000209CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Tobon-Chung FNP a Professional Nursing Corporation CurrentSince Jul 15, 2024 Accepting new patients
Cristina Tobon-Chung FNP a Professional Medical Corporation CurrentSince Feb 1, 2023 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 16, 2023 Accepting new patients
Olive Tree Nursing Corporation CurrentSince Sep 27, 2025 Accepting new patients
Vertical Vein Corp PastSince Nov 5, 2015 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451

7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1053735019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HOPLAND CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131438",
            "telephone_number": "619-410-9554",
            "fax_number": "877-992-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 MAPLE AVE",
            "address_2": "SUITE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413154",
            "telephone_number": "619-410-9554",
            "fax_number": "877-992-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBON-CHUNG",
        "first_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.