| Elizabeth Sara Matey, NP | |
|
5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | |
| (619) 740-6000 | |
| Not Available |
| Full Name | Elizabeth Sara Matey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245960335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95020572 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95020572 (California) | Primary |
| Entity Name | Clinic Services Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Entity Name | Team Physicians Of Southern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225499015 PECOS PAC ID: 0446545354 Enrollment ID: O20160816003061 |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Sara Matey, NP 1305 9th St, Coronado, CA 92118-2623 Ph: (619) 990-7321 | Elizabeth Sara Matey, NP 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000 |
Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182 | |
Wendy M Alva, CPNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942 Phone: 858-279-1223 | |
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933 | |
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700 | |
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609 | |
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375 | |
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702 |