NPIMap

Individual provider Active NPI

Kristina Carpenter, D.O.

  • Family Medicine Physician
  • Concord, CA
National Provider Identifier
1952741985
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14099 Issued in CA
Practice address
2481 Pacheco St
Concord, CA 94520-2019
Phone
(925) 680-8933
Fax
(925) 680-7635
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fred J Von Stieff MD a Professional Corporation 3 clinicians

Practice addresses (Care Compare)

2481 Pacheco St
Concord, CA 94520-2019
Phone (925) 680-8933

Hospital & facility affiliations

  • Sutter Care at Home Hospice, Alameda, CA, CCN 051555
  • Vitas Healthcare Corporation of California Hospice, Walnut Creek, CA, CCN 051770
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912001363 CA Practitioner - Family Practice 2264728666 Reassigns benefits to 1 organization

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vitas Healthcare Corporation of CaliforniaWalnut Creek, CA, CCN 051770 Hospice W-2 Managing Employee Oct 6, 2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California PHS PC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Fred J Von Stieff MD a Professional Corporation CurrentSince Aug 11, 2016 Accepting new patients
J M Geiss DO Apc Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
John Muir Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

2481 Pacheco St
Concord, CA 94520
Phone (925) 680-0230

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kcarpenter44113@hpmg.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A14099 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2481 Pacheco St
Concord, CA 94520-2019

Mailing address

2481 Pacheco St
Concord, CA 94520-2019
Phone (925) 680-8933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2020.

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1952741985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202019",
            "telephone_number": "925-680-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202019",
            "telephone_number": "925-680-8933",
            "fax_number": "925-680-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.