Individual provider Active NPI

Kristina Paal Mouradian, NP

  • Adult Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1891234464
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP95006040 Issued in CA
Practice address
1295 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Phone
(760) 276-3979
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95006040 CA Primary

Addresses

Primary practice location

1295 Carlsbad Village Dr
Carlsbad, CA 92008-1950

Mailing address

1295 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Phone (760) 276-3979

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
I20170925003006 CA Practitioner - Nurse Practitioner 6305110644 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95006040CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Oct 23, 2023 Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince May 5, 2025 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince May 28, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince May 28, 2024 Accepting new patients
San Diego American Indian Health Center CurrentSince Mar 9, 2021 Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc CurrentSince May 5, 2025 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Oct 23, 2023 Accepting new patients
Operation Samahan, Inc. Past Accepting new patients

Locations

1620 Alpine Blvd
Ste 110
Alpine, CA 91901
Phone (760) 350-9725

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

525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787

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

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

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD
  • Direct secure messaging: kristina.mouradian.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: kmouradian54477@syhealth.direct-ci.com

Organizations & group practices 10

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1891234464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081950",
            "telephone_number": "760-276-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081950",
            "telephone_number": "760-276-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURADIAN",
        "first_name": "KRISTINA",
        "middle_name": "PAAL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95006040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.