Individual provider Active NPI

Nicole Malia Lindstrom

  • Occupational Therapist
  • Chula Vista, CA
National Provider Identifier
1073290664
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25189 Issued in CA
Practice address
88 E Bonita Rd Ste C
Chula Vista, CA 91910-3057
Phone
(619) 230-0855
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 25189 CA Primary

Addresses

Primary practice location

88 E Bonita Rd Ste C
Chula Vista, CA 91910-3057

Mailing address

2240 E Plaza Blvd Ste B-E
National City, CA 91950-5164
Phone (661) 210-7176

Other names 1

  • Nicole Cua Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911000048 CA Practitioner - Occupational Therapist in Private Practice 9133583164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

88 E Bonita Rd
Suite C
Chula Vista, CA 91910-3057
Phone (619) 230-0855

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25189CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Dec 1, 2023 Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 3, 2023 Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 3, 2023 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Dec 1, 2023 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

910 Hale Pl
Ste 115
Chula Vista, CA 91914
Phone (619) 369-2667

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

2240 E Plaza Blvd
Ste Be
National City, CA 91950
Phone (619) 474-5916

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

3750 Convoy St
Ste 201B
San Diego, CA 92111
Phone (858) 302-2499

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1073290664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E PLAZA BLVD STE B-E",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505164",
            "telephone_number": "661-210-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E BONITA RD STE C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103057",
            "telephone_number": "619-230-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "NICOLE",
        "middle_name": "MALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CUA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.