Active NPI
Autumn Sunshine Houston, FNP
- Primary Care Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95027181
- Practice address
- 5425 Camino Santander Apt 30
San Diego, CA 92130-6536 - Phone
- (619) 944-8236
- NPI assigned
- Mar 19, 2024
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP95027181 | CA | Primary |
Addresses
Primary practice location
5425 Camino Santander Apt 30
San Diego, CA 92130-6536
Mailing address
5425 Camino Santander Apt 30
San Diego, CA 92130-6536
Phone (619) 944-8236
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95027181 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Care | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Molina Healthcare of California | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic | Past | Accepting new patients |
Locations
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
4074 Fairmount Ave
San Diego, CA 92105
Phone (619) 284-1141
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
Interoperability endpoints
- autumn.houston.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 7
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.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1609849074
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1881454726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 CAMINO SANTANDER APT 30",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921306536",
"telephone_number": "619-944-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 CAMINO SANTANDER APT 30",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921306536",
"telephone_number": "619-944-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "AUTUMN",
"middle_name": "SUNSHINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95027181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.