Active NPI
Cristina Maria King, PA
- Physician Assistant
- Oregon House, CA
National Provider Identifier
1871291856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 62035
- Practice address
- 13255 Sky Meadow Way
Oregon House, CA 95962-8033 - Phone
- (530) 687-2864
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 62035 | CA | Primary |
Addresses
Primary practice location
13255 Sky Meadow Way
Oregon House, CA 95962-8033
Mailing address
PO Box 842
Oregon House, CA 95962-0842
Phone (530) 687-2864
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of California, Davis School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269
800 W Harris St
Suite 33
Eureka, CA 95503-3929
Phone (707) 296-7660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62035 | CA | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
dba North American Mental Health Services
- Psychiatry Physician
- Redding, CA
- NPI 1073919171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1871291856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842",
"city": "OREGON HOUSE",
"state": "CA",
"postal_code": "959620842",
"telephone_number": "530-687-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13255 SKY MEADOW WAY",
"city": "OREGON HOUSE",
"state": "CA",
"postal_code": "959628033",
"telephone_number": "530-687-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CRISTINA",
"middle_name": "MARIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "62035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon House, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.