ELIZABETH SOEWONDO - NPI 1376198408 - Nurse Practitioner in Escondido, CA

Q: What is Elizabeth Soewondo's NPI number?

The NPI number for Elizabeth Soewondo is 1376198408. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Elizabeth Soewondo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

On this page

About Elizabeth Soewondo NPPES

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

ELIZABETH SOEWONDO (NPI 1376198408) is an individual nurse practitioner in Escondido, California, licensed in California (95040736) and active in the NPI registry since August 2019. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1376198408

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH SOEWONDO

Location Address362 W MISSION AVE STE 105Escondido, CA 92025-1738

Mailing Address362 W Mission Ave Ste 105Escondido, CA 92025-1738

Phone(760) 741-1224

Sole ProprietorNo

Enumeration DateAugust 6, 2019

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1376198408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95040736

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

362 W MISSION AVE STE 105, Escondido, CA 92025

Open in Google Maps ↗

Secondary Practice Location 1

Location 16280 Jackson Dr Ste 8San Diego, CA 92119-3436 · Phone (760) 741-1224

Other Providers at the Same Location NPPES 2

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

GEORGINE DE ROTH MD

Family Medicine

362 W MISSION AVE STE 105
ESCONDIDO, CA 92025

San Diego County (760) 741-1224

CULTURE OF LIFE FAMILY SERVICES

Clinic/Center (Primary Care)

362 W MISSION AVE STE 105
ESCONDIDO, CA 92025

San Diego County (760) 741-1224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Soewondo's NPI number?

The NPI number for Elizabeth Soewondo is 1376198408. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Elizabeth Soewondo located?

Elizabeth Soewondo practices at 362 W Mission Ave Ste 105, Escondido, CA 92025. The listed phone number is (760) 741-1224.

What is Elizabeth Soewondo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Soewondo was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.