Christopher Kevin Kolstad, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A100294 Issued in CA

Practice address

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

Phone

(858) 859-2563

Fax

(858) 999-3541

NPI assigned

Jul 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ckolstad71624@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)
• Vito C. Quatela, MD PLLC

  • Plastic Surgery Physician
  • Rochester, NY
  • NPI 1013005602
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1649477654",
    "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": {
        "last_name": "KOLSTAD",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A100294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FD680A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Kolb, SLP
• Alexa P. Kollmeier, M.D.
• Kevin Paul Kolostyak, MD
• Nikolai V Kolotiniuk, M.D.
• Kolstad Plastic Surgery, Inc
• Asako Komiya, NP
• Neke Konig, PHARMD
• Gauree Gupta Konijeti, MD, MPH
• Ramdev Konijeti, M.D.
• Kara Emi Kono, DO

• Specialist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.