MARY ALICE ACEVEDO MD
NPI 1528004975
Obstetrics & Gynecology in San Diego, CA

Active since June 22, 2006
5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Mary Alice Acevedo Md NPPES

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

MARY ALICE ACEVEDO MD (NPI 1528004975) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (C37709) and active in the NPI registry since June 2006. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1528004975
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY ALICE ACEVEDOCredential: MD
Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2323 · Fax (619) 906-4564
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1528004975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · C37709
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5454 EL CAJON BLVD, San Diego, CA 92115

Secondary Practice Location 1

Location 11809 National Avenue, Logan Heights Family Health CenterSan Diego, CA 92113-2196 · Phone (619) 515-2300 · Fax (619) 234-2447

Other Providers at the Same Location NPPES 20

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

Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Marriage & Family Therapist
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Clinic/Center (Federally Qualified Health Center (FQHC))
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Social Worker (Clinical)
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115

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 Mary Acevedo's NPI number?

The NPI number for Mary Acevedo is 1528004975. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Mary Acevedo located?

Mary Acevedo practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.

What is Mary Acevedo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Mary Acevedo was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.