Individual provider Active NPI

Chrysten Elizabeth Cunningham, DO

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1265435606
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A7944 Issued in CA
Practice address
2386 Avenida de la Playa
La Jolla, CA 92037-3201
Phone
(858) 945-7906
Fax
(858) 754-1202
NPI assigned
May 31, 2005
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A7944 CA Primary

Addresses

Primary practice location

2386 Avenida de la Playa
La Jolla, CA 92037-3201

Mailing address

2386 Avenida de la Playa
La Jolla, CA 92037-3201
Phone (858) 945-7906

Other identifiers 1

IdentifierTypeStateIssuer
00AX79440MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000217 CA Practitioner - Obstetrics/Gynecology 4082797303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bay OBGYNGroup PAC ID 2264805241, 5 clinicians

Practice addresses (Care Compare)

967 Lane Ave
Suite 102
Chula Vista, CA 91914-4530
Phone (619) 267-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7944CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay OBGYN CurrentSince Oct 1, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Planned Parenthood of the Pacific Southwest Past Accepting new patients
South Bay OB/GYN Medical Group, Inc. PastSince Oct 1, 2025 Accepting new patients

Locations

765 Medical Center Ct
Ste 203
Chula Vista, CA 91911
Phone (619) 267-8313

967 Lane Ave
Ste 102
Chula Vista, CA 91914
Phone (619) 267-8313

Interoperability endpoints

  • Direct secure messaging: ccunningham80928@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1265435606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 AVENIDA DE LA PLAYA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373201",
            "telephone_number": "858-945-7906",
            "fax_number": "858-754-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 AVENIDA DE LA PLAYA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373201",
            "telephone_number": "858-945-7906",
            "fax_number": "858-754-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CHRYSTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A7944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX79440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.