Active NPI
Cristina Tobon-Chung, FNP
- Family Nurse Practitioner
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000209
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Vital Care Health Systems
- New Century Home Health, Inc
- Total Home Health
- Healthwise Home Health Care Inc
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000209 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristina Tobon-Chung FNP a Professional Nursing Corporation | Current | Accepting new patients | |
| Cristina Tobon-Chung FNP a Professional Medical Corporation | Current | Accepting new patients | |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| Olive Tree Nursing Corporation | Current | Accepting new patients | |
| Vertical Vein Corp | Past | 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.
-
- Internal Medicine Physician
- Lemon Grove, CA
- NPI 1063245157
-
- Internal Medicine Physician
- Lemon Grove, CA
- NPI 1891408043
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Internal Medicine Physician
- Lemon Grove, CA
- NPI 1194698043
-
- Specialist
- San Diego, CA
- NPI 1144678665
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- National City, CA
- NPI 1669082350
-
- Home Health Agency
- National City, CA
- NPI 1235407826
-
- Home Health Agency
- Van Nuys, CA
- NPI 1447261375
-
- Home Health Agency
- Glendale, CA
- NPI 1699766212
-
- Home Health Agency
- San Diego, CA
- NPI 1114206976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.