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ELIZABETH ANNE WALDMAN D.O
NPI 1699092338
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since April 20, 2010PECOS Enrolled
17140 BERNARDO CENTER DR STE 300, SAN DIEGO, CA 92128(833) 783-7411(858) 716-8101 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Anne Waldman D.o NPPES

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

ELIZABETH ANNE WALDMAN D.O (NPI 1699092338) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (13601) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699092338
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameELIZABETH ANNE WALDMANCredential: D.O
Location Address17140 BERNARDO CENTER DR STE 300San Diego, CA 92128-2000
Mailing Address2875 Cliffridge CtLa Jolla, CA 92037-2116 · (304) 646-6583
Phone(833) 783-7411
Fax(858) 716-8101
Sole ProprietorNo
Enumeration DateApril 20, 2010
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1699092338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · 13601
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 13601 (CA)
17140 BERNARDO CENTER DR STE 300, San Diego, CA 92128
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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 (PECOS)

Elizabeth Anne Waldman D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

HODA NABILI
Counselor (Professional)
17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA 92128
San Diego County (858) 716-8100
DR. BRIAN M LUKACH PHD
Psychologist (Clinical)
17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA 92128
San Diego County (858) 716-8100
ROGERS BEHAVIORAL HEALTH, INC.
Clinic/Center
17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA 92128
San Diego County (800) 767-4411

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 Waldman's NPI number?

The NPI number for Elizabeth Waldman is 1699092338. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Elizabeth Waldman located?

Elizabeth Waldman practices at 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128. The listed phone number is (833) 783-7411.

What is Elizabeth Waldman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Elizabeth Waldman enrolled in Medicare?

Yes. Elizabeth Waldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Waldman was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.