Organization Active NPI

Kristina Antonson MD Inc

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1659815694
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A113832 Issued in CA
Legal business name
KRISTINA ANTONSON MD INC
Practice address
1330 Q St
Sacramento, CA 95811-5705
Phone
(916) 712-0578
Fax
(855) 225-6311
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Dr. Kristina Antonson, MDNPI 1881821270
Title
Ceo
Phone
(916) 712-0578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A113832 CA Primary

Addresses

Primary practice location

1330 Q St
Sacramento, CA 95811-5705

Mailing address

1330 Q St
Sacramento, CA 95811-5705
Phone (916) 712-0578

National Provider Directory

National Provider Directory

Locations

1330 Q St
Sacramento, CA 95811
Phone (916) 802-3808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1659815694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 Q ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115705",
            "telephone_number": "916-712-0578",
            "fax_number": "855-225-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 Q ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115705",
            "telephone_number": "916-712-0578",
            "fax_number": "855-225-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA ANTONSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "ANTONSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-712-0578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A113832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.