Kolstad Plastic Surgery, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KOLSTAD PLASTIC SURGERY, INC

Doing business as

Kolstad Facial Plastic Surgery

Practice address

4180 La Jolla Village Dr
Suite 455
La Jolla, CA 92037

Phone

(858) 859-2563

Fax

(858) 999-3541

NPI assigned

Jul 16, 2011

Last updated

Aug 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Kolstad, MDNPI 1649477654

Title

Owner

Phone

(858) 859-2563

Specialties & licenses 3

Addresses

Other names 1

• Kolstad Facial Plastic Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Kevin Kolstad, MD

  • Specialist
  • La Jolla, CA
  • NPI 1649477654
  Authorized official Same address or phone

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1588952188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 455",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-859-2563",
            "fax_number": "858-999-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 455",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-859-2563",
            "fax_number": "858-999-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLSTAD PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "KOLSTAD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-859-2563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A100294",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kolstad Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Alexander Kolawa, MD
• Danielle Kolb, SLP
• Alexa P. Kollmeier, M.D.
• Kevin Paul Kolostyak, MD
• Nikolai V Kolotiniuk, M.D.
• Christopher Kevin Kolstad, MD
• Asako Komiya, NP
• Neke Konig, PHARMD
• Gauree Gupta Konijeti, MD, MPH
• Ramdev Konijeti, M.D.

• Ambulatory Surgical Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.