Active NPI
Christina Marie Stuart
- Physician Assistant
- Colton, CA
National Provider Identifier
1467078584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58177
- Practice address
- 1850 E Washington St
Colton, CA 92324-4621 - Phone
- (909) 887-2991
- Fax
- (909) 887-5694
- NPI assigned
- Jun 24, 2020
- Last updated
- Nov 8, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58177 | CA | Primary |
| Physician Assistant | 363A00000X | PA58177 |
Addresses
Primary practice location
1850 E Washington St
Colton, CA 92324-4621
Mailing address
1850 E Washington St
Colton, CA 92324-4621
Phone (909) 887-2991
Other practice location 1
316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone (805) 332-8446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58177 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Single Specialty | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1467078584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
}
],
"practiceLocations": [
{
"address_1": "316 S Stratford Ave Ste B",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545908",
"country_code": "US",
"telephone_number": "805-332-8446",
"fax_number": "805-332-8173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUART",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58177",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "PA58177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.