Active NPI
Christian Francis Archambault, MD
- Pediatrics Physician
- La Jolla, CA
National Provider Identifier
1992776918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A74776
- Practice address
- 7300 Grand Ave
Suite 106
La Jolla, CA 92037 - Phone
- (858) 459-4351
- Fax
- (858) 459-4399
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A74776 | CA | Primary |
Addresses
Primary practice location
7300 Grand Ave
Suite 106
La Jolla, CA 92037
Mailing address
7300 Grand Ave
Suite 106
La Jolla, CA 92037
Phone (858) 459-4351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A74776 | Other | CA | MD LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74776 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Children'S Primary Care Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- carchambault8803@radychildrens.direct-ci.com
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.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1184788291
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1992776918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 GRAND AVE",
"address_2": "SUITE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-459-4351",
"fax_number": "858-459-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 GRAND AVE",
"address_2": "SUITE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-459-4351",
"fax_number": "858-459-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHAMBAULT",
"first_name": "CHRISTIAN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A74776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "A74776",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.