Individual provider Active NPI

Christina Braunworth, APRN

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1831794023
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11010341 Issued in FL
Practice address
4710 Point Loma Ave Apt 5
San Diego, CA 92107-3856
Phone
(561) 236-8212
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11010341 FL Primary

Addresses

Primary practice location

4710 Point Loma Ave Apt 5
San Diego, CA 92107-3856

Mailing address

6862 Hatteras Dr
Lake Worth, FL 33467-7936
Phone (561) 236-8212

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
I20220622002122 CA Practitioner - Nurse Practitioner 5294114203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Luis Rey Medical GroupGroup PAC ID 4284915612, 8 clinicians

Practice addresses (Care Compare)

27710 Jefferson Ave
Suite 207
Temecula, CA 92590-4604
Phone (833) 668-6676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010341FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Sport Physical Medicine Inc CurrentSince Jan 1, 2025 Accepting new patients
San Luis Rey Medical Group CurrentSince Nov 18, 2024 Accepting new patients
Tyson Medical Inc Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Vitality Ageless Center LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Tyson Medical Inc Family Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

6400 Oak Cyn
Ste 200
Irvine, CA 92618
Phone (949) 240-7200

157 S Sierra Ave
Ste B
Oakdale, CA 95361
Phone (209) 322-2636

27710 Jefferson Ave
Ste 207
Temecula, CA 92590
Phone (833) 668-6676

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Organizations & group practices 5

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1831794023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 HATTERAS DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677936",
            "telephone_number": "561-236-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 POINT LOMA AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073856",
            "telephone_number": "561-236-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNWORTH",
        "first_name": "CHRISTINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11010341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.