Kristina Antonson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A113832 Issued in CA

Practice address

1330 Q St
Sacramento, CA 95811-5705

Phone

(916) 712-0578

Fax

(855) 225-6311

NPI assigned

Jun 12, 2009

Last updated

Dec 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 28, 2016 through Jan 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kristina Antonson MD Inc

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1659815694
  NPD (past) Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1881821270",
    "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": {
        "last_name": "ANTONSON",
        "first_name": "KRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A113832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph F. Antognini, M.D.
• Crystal Lynn Antolin, LMFT
• Letizia Celestina Loredana Antonietti, M.D.
• Nicholas Frank Antonino, D.O
• Laura Antonius, PTA
• Dawn Eileen Antrim, AMFT #142968
• Jessica Anne Antrobus
• Francesca Diane Antuna
• Charles Antwi
• Sabriyya Antwine

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.