Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649477654 Individual Practitioner Male Practitioner

Dr. Christopher Kevin Kolstad , MD

Specialist • La Jolla, CA

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Kolstad, MD is a registered healthcare professional specializing in Specialist in La Jolla, CA. Practice services are available at 4180 LA JOLLA VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4180 La Jolla Village Dr
Suite 455

La Jolla, CA 92037

Telephone 8588592563
Fax 8589993541
Associated Practice Facility / Clinic
🏢 Kolstad Plastic Surgery, Inc Facility NPI 1588952188

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.7 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
44 Specialists

Practicing in La Jolla, CA (6446 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A100294

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan
FD680A (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1013019140

Doctor of Philosophy (Ph.D.)

Dr. Peter Mcdade , PhD

Psychologist - Clinical

NPI 1093813909

Doctor of Philosophy (Ph.D.)

Nathan Chow

Psychologist - Clinical

NPI 1134564206
NPI 1194559955

DACM, Licensed Acupuncturist

NPI 1205983061

Doctor of Philosophy (Ph.D.)

Dr. Ann Pockros , PhD

Psychologist - Clinical

NPI 1336242809

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 06, 2024

Registered at 4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037 (Tel: 8588592563)

📍
Updated Business Mailing Address March 06, 2024

Registered at 4180 LA JOLLA VILLAGE DR, SUITE 455, LA JOLLA, CA 92037 (Tel: 8588592563)

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2014

Registered at 4150 REGENTS PARK ROW, SUITE 325, LA JOLLA, CA 92037 (Tel: 8588592563)

📍
Updated Business Mailing Address June 10, 2014

Registered at 4150 REGENTS PARK ROW, SUITE 325, LA JOLLA, CA 92037 (Tel: 8588592563)

👤
Provider Name / Credentials Updated June 10, 2014

Recorded as CHRISTOPHER KOLSTAD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Specialist (License #A100294 in CA)

🟢
Initial NPI Registration & Enumeration July 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649477654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2007
Last Update: March 06, 2024
Sole Proprietor: No

Mailing Address

4180 La Jolla Village Dr, Suite 455

La Jolla, CA 92037

Phone: 8588592563

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.