Individual provider Active NPI

Christopher R Lundquist, MD

  • Family Medicine Physician
  • Brea, CA
National Provider Identifier
1477633402
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OOG45191 Issued in CA
Practice address
2874 E Imperial Hwy
Brea, CA 92821-6714
Phone
(714) 579-7505
Fax
(714) 993-4130
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OOG45191 CA Primary

Addresses

Primary practice location

2874 E Imperial Hwy
Brea, CA 92821-6714

Mailing address

2874 E Imperial Hwy
Brea, CA 92821-6714
Phone (714) 579-7505

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
I20101104001472 CA Practitioner - Family PracticePractitioner - General Practice 6204801434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

901 Olive Dr
Bakersfield, CA 93308-4137
Phone (661) 215-7500

Hospital & facility affiliations

  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OOG45191CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Infusion and Clinical Services, Inc Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

1311 Columbus St
Bakersfield, CA 93305
Phone (661) 379-6061

143 W Kern Ave
Mc Farland, CA 93250
Phone (661) 310-1002

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1477633402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-579-7505",
            "fax_number": "714-993-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-579-7505",
            "fax_number": "714-993-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "OOG45191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.