MISS ELIZABETH MAE HOLLO PA-C
NPI 1306132121
Physician Assistant - Medical in Lemon Grove, CA

Q: What is Elizabeth Hollo's NPI number?

The NPI number for Elizabeth Hollo is 1306132121. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Elizabeth Hollo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Hollo was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment

7967 BROADWAY, LEMON GROVE, CA 91945(619) 741-7423(619) 713-2589 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Elizabeth Mae Hollo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ELIZABETH MAE HOLLO PA-C (NPI 1306132121) is an individual medical provider in Lemon Grove, California, licensed in California (PA21620) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306132121

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS ELIZABETH MAE HOLLOCredential: PA-C

Location Address7967 BROADWAYLemon Grove, CA 91945-1809

Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 280-4213 · Fax (619) 280-3545

Phone(619) 741-7423

Fax(619) 713-2589

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 20, 2011

Last NPPES UpdateDecember 29, 2011

✔ NPI 1306132121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA21620

7967 BROADWAY, Lemon Grove, CA 91945

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Elizabeth Mae Hollo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971817511

PECOS Enrollment IDI20210412000406

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers15 claims22 services$4.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARMELA MUJAR AMBROSIO DMD

Dentist (General Practice)