ELIZABETH ELIZONDO (NPI# 1457832990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457832990 |
| Entity Type | Individual |
| Full Name | ELIZABETH ELIZONDO |
| Credential | RN |
| Practice Address |
2667 Camino Del Rio S Ste 201 San Diego CA 92108 |
| Mailing Address |
5756 Eldergardens St San Diego CA 92120-3726 |
| Practice Telephone | 9043867576 |
| Mailing Telephone | 9043867576 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
95173440 | CA | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
4704226640 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5756 Eldergardens St, San Diego, CA 921203726 | 9043867576 |
| Street Address |
2667 CAMINO DEL RIO S STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689188153 | Leilani Jean Wilde | Lactation Consultant, Non-RN | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108-3733 | 2017-11-20 |
| 1730696816 | The Kingdom Life Ministries Inc. | Lactation Consultant, Non-RN | 2667 Camino Del Rio S Ste 201, San Diego, CA 92108-3733 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688007 | Christine Marie Decker-hughes | Registered Nurse | 11026 Corte Playa Tampico, San Diego, CA 92124-4101 | 2020-07-31 |
| 1659980662 | Jennifer Gathman | Registered Nurse | 16935 W Bernardo Dr Ste 105, San Diego, CA 92127-1657 | 2020-07-26 |
| 1316447584 | Roseanne M Campbell | Registered Nurse | 3355 4th Avenue, San Diego Breast Feeding Center, San Diego, CA 92103 | 2018-02-14 |
| 1588164826 | Michael L Kelley | Registered Nurse | 7760 Margerum Ave Unit 224, San Diego, CA 92120-1441 | 2018-02-13 |
| 1801267778 | Jamie Felice | Registered Nurse | 2135 Frankfort St, San Diego, CA 92110-3412 | 2015-10-16 |
| 1356735583 | Carly Marks | Registered Nurse | 13374 Terraza Playa Cancun, San Diego, CA 92124-1538 | 2015-03-25 |
| 1699167528 | Nancy White | Registered Nurse | 3315 Mcgraw St, San Diego, CA 92117-6054 | 2015-03-02 |
| 1518387430 | Jennifer Giurlani Peters | Registered Nurse | 10484 Livewood Way, San Diego, CA 92131-2201 | 2014-04-17 |
| 1235480294 | Amber Dawn Burvall | Registered Nurse | 8488 New Salem St, Unit 69, San Diego, CA 92126-2338 | 2012-09-30 |
| 1366658122 | Marjorie M Barr | Registered Nurse | 18278 Sun Maiden Ct, San Diego, CA 92127-3103 | 2007-05-15 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.