Organization Active NPI

Cristina Tobon-Chung FNP a Professional Medical Corporation

  • Internal Medicine Physician
  • Lemon Grove, CA
National Provider Identifier
1891408043
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CRISTINA TOBON-CHUNG FNP A PROFESSIONAL MEDICAL CORPORATION
Practice address
7227 Broadway Ste 402
Lemon Grove, CA 91945-1505
Phone
(888) 628-6680
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Cristina Tobon-ChungNPI 1053735019
Title
Ceo
Phone
(619) 410-9554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7227 Broadway Ste 402
Lemon Grove, CA 91945-1505

Mailing address

7227 Broadway Ste 402
Lemon Grove, CA 91945-1505
Phone (888) 628-6680

Other names 1

  • CRISTINA TOBON-CHUNG FNP A PROFESSIONAL MEDICAL CORPORATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616000621 CA Part B Supplier - Clinic/Group Practice 0244698645 Receives reassigned benefits from 5 practitioners
Practice locations: Lemon Grove, CA

National Provider Directory

National Provider Directory

Locations

7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1891408043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 BROADWAY STE 402",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451505",
            "telephone_number": "888-628-6680",
            "fax_number": "619-567-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 BROADWAY STE 402",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451505",
            "telephone_number": "888-628-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA TOBON-CHUNG FNP A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "TOBON-CHUNG",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-410-9554"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRISTINA TOBON-CHUNG FNP A PROFESSIONAL MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.