Active NPI
Christine Suzanne Lundstedt, FNP-C
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1376016048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11009616
- Practice address
- 5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338 - Phone
- (858) 571-3630
- Fax
- (858) 430-3146
- NPI assigned
- Jan 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95009138 | CA | |
| Family Nurse Practitioner | 363LF0000X | 11009616 | FL | Primary |
Addresses
Primary practice location
5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Mailing address
200 S Park Rd Ste 200
Hollywood, FL 33021-8541
Phone (866) 986-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009616 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Qian M.D. Inc. | Current | Accepting new patients | |
| Chma of FL, PLLC | Current | Accepting new patients | |
| John Qian M.D. Inc. | Current | Accepting new patients | |
| Home Physicians Medical Group, Inc. | Current | Accepting new patients |
Locations
4849 Ronson Ct
Ste 217
San Diego, CA 92111
Phone (858) 279-1212
5395 Ruffin Rd
Ste 204
San Diego, CA 92123
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1770523169
-
- Internal Medicine Physician
- Aventura, FL
- NPI 1912581653
-
- Interventional Pain Medicine Physician
- Chula Vista, CA
- NPI 1356977656
-
- Interventional Pain Medicine Physician
- San Diego, CA
- NPI 1902061070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1376016048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S PARK RD STE 200",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218541",
"telephone_number": "866-986-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 RUFFIN RD STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231338",
"telephone_number": "858-571-3630",
"fax_number": "858-430-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDSTEDT",
"first_name": "CHRISTINE",
"middle_name": "SUZANNE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-06",
"last_updated": "2022-08-19",
"certification_date": "2022-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009138",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11009616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.