Individual provider Active NPI

Kristina Kingsbury Boeing, SRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
National Provider Identifier
1205134301
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA4119 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
Mar 14, 2011
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA4119 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 643010 CA

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6751

Other names 1

  • Kristina Ann Kingsbury Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000231 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850551698 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians

Practice addresses (Care Compare)

3939 3Rd Ave
San Diego, CA 92103-3002
Phone (800) 765-2737

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4119CAMDOccupational Therapist
NA4119CAMDCertified Registered Nurse Anesthetist
643010CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Aug 30, 2017 Accepting new patients
Regents of the University of California Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2020 Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 30, 2017 Accepting new patients
Regents of the University of California CurrentSince Sep 21, 2020 Accepting new patients
Escondido Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2025 Accepting new patients
Concierge Anesthesia Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations (25 of 33)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

320 Santa Fe Dr
Ste LL2
Encinitas, CA 92024
Phone (760) 612-6647

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

488 E Valley Pkwy
Ste 110
Escondido, CA 92025
Phone (760) 735-6290

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

3939 Ruffin Rd
Ste 101
San Diego, CA 92123
Phone (619) 299-9530

4033 3rd Ave
Ste 106
San Diego, CA 92103
Phone (619) 497-2888

5643 Copley Dr
Ste 100
San Diego, CA 92111
Phone (858) 268-3566

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

Organizations & group practices 9

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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1205134301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "858-249-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEING",
        "first_name": "KRISTINA",
        "middle_name": "KINGSBURY",
        "credential": "SRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA4119",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "643010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "KINGSBURY",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.