Individual provider Active NPI

Cristine Philina Noche Ong, NP

  • Family Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1649764374
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008670 Issued in CA
Practice address
2701 Ocean Park Blvd Ste 130
Santa Monica, CA 90405-5244
Phone
(310) 450-1200
Fax
(310) 450-8830
NPI assigned
Jun 16, 2018
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 778305 CA
Family Nurse Practitioner 363LF0000X 95008670 CA Primary

Addresses

Primary practice location

2701 Ocean Park Blvd Ste 130
Santa Monica, CA 90405-5244

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

Other practice location 1

2233 Huntington Dr Ste 12
San Marino, CA 91108
Phone (626) 796-0821

Other practice location 2

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (866) 389-2727

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911002352 CA Practitioner - Nurse Practitioner 1658621727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
778305CAMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Dec 21, 2021 Accepting new patients
The Regents of the University of California CurrentSince Dec 21, 2021 Accepting new patients
UCLA Medical Group Past Accepting new patients
Paul TC Liu MD, Inc Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

11303 W Washington Blvd
#100
Los Angeles, CA 90066
Phone (310) 391-7281

200 UCLA Medical Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 206-4083

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

1260 15th St
Ste 1502
Santa Monica, CA 90404
Phone (310) 656-1701

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2701 Ocean Park Blvd
Ste 130
Santa Monica, CA 90405
Phone (310) 450-1200

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: cong967711@direct.uclahealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1649764374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 130",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055244",
            "telephone_number": "310-450-1200",
            "fax_number": "310-450-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Huntington Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "91108",
            "country_code": "US",
            "telephone_number": "626-796-0821",
            "fax_number": "626-796-0619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "91007",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "CRISTINE PHILINA",
        "middle_name": "NOCHE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "778305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.