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ELENA SOJOURNER HEIDE
NPI 1750030318
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 21, 2022PECOS Enrolled
200 W ARBOR DR # MC8425, SAN DIEGO, CA 92103(619) 543-6268 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elena Sojourner Heide NPPES

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

ELENA SOJOURNER HEIDE (NPI 1750030318) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750030318
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELENA SOJOURNER HEIDE
Location Address200 W ARBOR DR # MC8425San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # Mc8425San Diego, CA 92103-1911
Phone(619) 543-6268
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1750030318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8425, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elena Sojourner Heide is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052890589
PECOS Enrollment IDI20260205001427
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.

Medicare Billing Reassignment

Medicare enrollment records show Elena Heide reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.2 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BETIAL ASMEROM
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
KIMBERLY ANAHY GONZALEZ DAVALOS MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
CHRISTIAN MAKAR MD, MPH
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
LANA BRIDI MD
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
ARMON AZIZI MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
LAUREN CROWTHER MD
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
MATTHEW CHAN
Internal Medicine
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
WILLIAM BERTEL FLEMING
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103
San Diego County (619) 543-6268

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 Elena Heide's NPI number?

The NPI number for Elena Heide is 1750030318. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Elena Heide located?

Elena Heide practices at 200 W Arbor Dr # Mc8425, San Diego, CA 92103. The listed phone number is (619) 543-6268.

What is Elena Heide's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elena Heide enrolled in Medicare?

Yes. Elena Heide is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elena Heide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Heide reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elena Heide's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elena Heide was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.