Individual provider Active NPI

Christine Antoinette Quijada, RN, PHN,NP, PMHNP

  • Registered Nurse
  • Yuma, AZ
National Provider Identifier
1164038022
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95189049 Issued in CA
Practice address
5675 E 44TH Pkwy
Yuma, AZ 85365-0120
Phone
(714) 461-8379
NPI assigned
Sep 16, 2020
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95189049 CA Primary
Family Nurse Practitioner 363LF0000X 332598 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 332598 AZ
Family Nurse Practitioner 363LF0000X 95028068 CA

Addresses

Primary practice location

5675 E 44TH Pkwy
Yuma, AZ 85365-0120

Mailing address

5675 E 44TH Pkwy
Yuma, AZ 85365-0120
Phone (714) 461-8379

Other practice location 1

2790 Kelvin Ave Apt 1156
Irvine, CA 92614
Phone (714) 461-8379

Other practice location 2

405 W 5th St
Santa Ana, CA 92701-4599
Phone (714) 461-8379

Other practice location 3

11814 S Foothills Blvd Ste 1
Yuma, AZ 85367-5895
Phone (928) 276-4477

Other names 1

  • Christine Antoinette Vergara Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL n/a
Other URL n/a

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
I20240425002452 CA Practitioner - Nurse Practitioner 0042650962 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
332598AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Wound Care Plus, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540

1980 Felicita Rd
Escondido, CA 92025
Phone (740) 741-6109

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

416 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 280-0280

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 687-3842

304 N Melrose Dr
Vista, CA 92083
Phone (760) 724-8222

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1164038022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 E 44TH PKWY",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853650120",
            "telephone_number": "714-461-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 E 44TH PKWY",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853650120",
            "telephone_number": "714-461-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Kelvin Ave Apt 1156",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "92614",
            "country_code": "US",
            "telephone_number": "714-461-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014599",
            "country_code": "US",
            "telephone_number": "714-461-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11814 S Foothills Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675895",
            "country_code": "US",
            "telephone_number": "928-276-4477",
            "fax_number": "928-276-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIJADA",
        "first_name": "CHRISTINE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "RN, PHN,NP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95189049",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "332598",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "332598",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "405 W 5th St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "405 W 5th St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "VERGARA",
            "middle_name": "ANTOINETTE",
            "credential": "RN, NP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.