NPIMap

Individual provider Active NPI

David G. Christensen, M.D.

  • Emergency Medicine Physician
  • Pismo Beach, CA
National Provider Identifier
1932145620
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G81578 Issued in CA
Practice address
877 Oak Park Blvd
Pismo Beach, CA 93449
Phone
(805) 474-8450
NPI assigned
Jun 21, 2006
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G81578 CA Primary

Addresses

Primary practice location

877 Oak Park Blvd
Pismo Beach, CA 93449

Mailing address

1400 E. Church Street
Attention: Medical Staff Office
Santa Maria, CA 93455
Phone (805) 739-3954

Other identifiers 6

IdentifierTypeStateIssuer
00G815780OtherCABLUE SHIELD
G81578OtherCABLUE CROSS
P00250832OtherCATULARE RAILROAD
00G815780MedicaidCA
050359CG49067OtherCATULARE TRAILBLAZER
00G815780OtherCACALOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81578CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaylene J. Soloniuk-Tays, M.D., a Professional Corporation Past Accepting new patients
MMC Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine Past Accepting new patients
Bakersfield Emergency Medical Corp. Emergency Medicine Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Michael D Phillips, MD Medical Corporation Emergency Medicine Past Accepting new patients
Central Coast Emergency Physicians Emergency Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1932145620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. CHURCH STREET",
            "address_2": "ATTENTION: MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-739-3954",
            "fax_number": "805-739-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "93449",
            "telephone_number": "805-474-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G81578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G815780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G81578",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULARE RAILROAD",
            "identifier": "P00250832",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G815780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TULARE TRAILBLAZER",
            "identifier": "050359CG49067",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00G815780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.