Active NPI
Alicia Christiansen, MD
- Pediatrics Physician
- Encinitas, CA
National Provider Identifier
1992750095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C54570
- Practice address
- 354 Santa Fe Dr
Encinitas, CA 92024-5142 - Phone
- (760) 827-7400
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5806705-1205 | UT | |
| Pediatrics Physician | 208000000X | C54570 | CA | Primary |
Addresses
Primary practice location
354 Santa Fe Dr
Encinitas, CA 92024-5142
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 827-7400
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54570 | CA | MD | Pediatrics Physician |
| 5806705-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Jordan Valley Medical Center LP | Past | Accepting new patients | |
| Coast Pediatrics Carmel Valley | Pediatrics | Past | Accepting new patients |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Locations
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- achristiansen19543@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pediatrics Physician
- San Diego, CA
- NPI 1427434679
-
dba Intermountain Health Primary Children's Hospital
- Children's Hospital
- Salt Lake City, UT
- NPI 1235148594
-
- General Acute Care Hospital
- West Valley City, UT
- NPI 1366440620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1992750095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "760-827-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245142",
"telephone_number": "760-827-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "5806705-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C54570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
- Chong Medicine Inc (Chong Acupuncture and Integrative Medicine)
- Carlos Roberto Chong, D.D.S
- Siatnee Chong, L.AC
- Timothy Chow, PHARMD
- Punam Chowdhury, MD
- Christopher J Miller Chiropractic Inc
- Christopher Meanley Chiropractic Inc
- Christopher Traxter, a Professional Dental Corporation
- Patricia Chu, MD
- Mandy S Chuey, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.