ELISE ZIMMERMAN M.D.
NPI 1649413071
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Elise Zimmerman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE ZIMMERMAN M.D. (NPI 1649413071) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A120177) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Zimmerman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Elise Zimmerman's NPI number?
The NPI number for Elise Zimmerman is 1649413071. It was assigned to this individual provider in the NPPES registry on April 15, 2009.
Where is Elise Zimmerman located?
Elise Zimmerman practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Elise Zimmerman's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Elise Zimmerman enrolled in Medicare?
Yes. Elise Zimmerman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elise Zimmerman was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Elise Zimmerman, M.D. · NPI 1649413071
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 15, 2009.
## Identity
- **NPI:** 1649413071 (Entity type: Individual)
- **Enumerated:** April 15, 2009
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A120177 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1649413071) · Data from the CMS NPPES public registry.