Dudley Elmore (NPI# 1568620375, PAC ID# 0042374910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568620375 |
| PAC ID by PECOS | 0042374910 |
| Professional Enrollment ID | I20090122000146 |
| Full Name | Dudley Elmore |
| Organization Legal Name | UC SAN DIEGO HEALTH COMMUNITY GROUP |
| Address |
16950 Via Tazon San Diego CA 92127-1607 |
| Phone Number | 8009268273 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971849175 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050025 | UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 16950 Via Tazon, San Diego, CA 92127-1607 | 8009268273 | UC SAN DIEGO HEALTH COMMUNITY GROUP |
| Organization Legal Name | UC SAN DIEGO HEALTH COMMUNITY GROUP |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Mcquinn | Nurse Practitioner | Uc San Diego Health Community Group | 203 W F St, San Diego, CA 92101-6016 |
| Elise Jordan | Physician Assistant | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Hang My Tran | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Michael A Smith | Internal Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Paulyne Raymundo | Nurse Practitioner | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Anna K Van Niekerk | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Anthony J. Bustamante | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Amir H Aminlari | Emergency Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Sainab A Warsame | Nurse Practitioner | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Janette Elaine Matthess | Nurse Practitioner | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Street Address |
16950 VIA TAZON |
| City | SAN DIEGO |
| State | CA |
| Zip | 92127-1607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elias A Jaraicie | Family Medicine | Sharp Rees-stealy Medical Group Inc | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Alana Dembitsky | Internal Medicine | Sharp Rees-stealy Medical Group Inc | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Anjali S Parekh | Ophthalmology | Sharp Rees-stealy Medical Group Inc | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Elise Jordan | Physician Assistant | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Hang My Tran | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Michael A Smith | Internal Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Paulyne Raymundo | Nurse Practitioner | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Anna K Van Niekerk | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| James Jenchie Lin | Internal Medicine | Sharp Rees-stealy Medical Group Inc | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Anthony J. Bustamante | Family Medicine | Uc San Diego Health Community Group | 16950 Via Tazon, San Diego, CA 92127-1607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn M Silverman | Emergency Medicine | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Kathrin A Belanger | Occupational Therapy | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Rory Daniel Schwan | Emergency Medicine | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Stephanie Marie Hebbel | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Amy Elizabeth Fong | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Zehui Tan | Internal Medicine | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Victoria Rose Irovando | Qualified Speech Language Pathologist | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Michael S Ventura | Optometry | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Kimberly Setzler | Physical Therapy | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Theophilos E Yphantides | Family Medicine | Sharp Rees-stealy Medical Group Inc | 16899 W Bernardo Dr, San Diego, CA 92127-1603 |
| Find all physicians in zip 92127 | |||
| City | SAN DIEGO |
| Zip Code | 92127 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN DIEGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dudley Elmore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.