Kristina Jacquelyn St.Clair, D.O.
Internal Medicine, Infectious Disease in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1083797948
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1083797948
- Entity type
- Individual (NPI-1)
- Name
- Kristina Jacquelyn St.Clair
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 0102202059 | VA | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | 010220059 | VA |
Practice location
Po Box 555191Camp Pendleton, CA 92055-5191
Phone 760-725-1213
Mailing address
139 Douglas AvenuePortsmouth, VA 23707
Phone 845-216-2401
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