Individual provider Active NPI

Kristina Isabella Asamsama, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1710691340
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95031768 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95110079 CA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95031768 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

File 57326
Los Angeles, CA 90074-0001

Other practice location 1

6645 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

Other practice location 2

6363 Greenwich Dr
San Diego, CA 92122-5947
Phone (800) 926-8273

Other practice location 3

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

Other practice location 4

1196 3rd Ave
Chula Vista, CA 91911-3131
Phone (619) 427-4661

Other practice location 5

350 Dickinson St
San Diego, CA 92103-1913
Phone (800) 926-8273

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
I20241021003169 CA Practitioner - Nurse Practitioner 6406388081 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Research Foundation IncGroup PAC ID 6800825332, 63 clinicians
Centro de Salud de la Comunidad de San Ysidro,Inc.Group PAC ID 6901709435, 291 clinicians

Practice addresses (Care Compare)

1045 9TH Ave
San Diego, CA 92101-5504
Phone (619) 235-2600

286 Euclid Ave
Suite 302
San Diego, CA 92114-3613
Phone (619) 662-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95110079CAMDRegistered Nurse
95030849CAMDPsychiatric/Mental Health Nurse Practitioner
95031768CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jan 6, 2025 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2024 Accepting new patients
Community Research Foundation Inc CurrentSince Dec 5, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jan 5, 2026 Accepting new patients
Regents of the University of California Nurse Practitioner Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 6, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2024 Accepting new patients
Regents of the University of California Nurse Practitioner CurrentSince May 30, 2025 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jan 5, 2026 Accepting new patients

Locations

1196 Third Ave
Chula Vista, CA 91911
Phone (619) 382-6393

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

8950 Villa La Jolla Dr
Ste C106
La Jolla, CA 92037

File 57326
Los Angeles, CA 90074

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

350 Dickinson St
Ste 3325
San Diego, CA 92103
Phone (619) 543-5221

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

286 Euclid Ave
Ste 302
San Diego, CA 92114
Phone (619) 527-7330

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

4510 Executive Dr
Ste 315
San Diego, CA 92121
Phone (858) 534-8019

350 Dickinson St
San Diego, CA 92103
Phone (619) 543-6635

545 Laurel St
San Diego, CA 92101
Phone (619) 233-4399

6645 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3172

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

1045 9th Ave
San Diego, CA 92101
Phone (619) 235-2600

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

1202 Morena Blvd
Ste 100
San Diego, CA 92110
Phone (619) 276-8112

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1710691340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6645 Alvarado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 Greenwich Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921225947",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6655 Alvarado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1196 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113131",
            "country_code": "US",
            "telephone_number": "619-427-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Dickinson St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031913",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAMSAMA",
        "first_name": "KRISTINA",
        "middle_name": "ISABELLA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95110079",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.