BERGEN ELIZABETH FOLSOM


Address: 3003 Health Center Drive, San Diego, CA 92123
Phone: 8589394198

BERGEN ELIZABETH FOLSOM (NPI# 1093809667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093809667
Entity Type Individual
Full Name BERGEN ELIZABETH FOLSOM
Credential MD
Practice Address 3003 Health Center Drive
San Diego
CA 92123
Mailing Address 8555 Aero Drive, Suite 104
San Diego
CA 92123
Practice Telephone 8589394198
Practice Fax Number 8589394972
Mailing Telephone 8589394198
Mailing Fax Number 8589394972
Enumeration Date 2006-10-03
Last Update Date 2019-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics A88203 CA Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
A88203 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A901670 05

Office Location

Street Address 3003 HEALTH CENTER DRIVE
City SAN DIEGO
State CA
Zip Code 92123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326297730 Shandee Miquelle Hutson Pediatrics 3003 Health Center Drive, San Diego, CA 92354-2804 2008-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
Find all providers in zip 92123

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427502186 George Francis Tidmarsh Pediatrics 10182 Telesis Ct, San Diego, CA 92121-4760 2016-08-11
1518116474 Aleksandra Janina Zabrocki Pediatrics 3262 Lahitte Ct, San Diego, CA 92122-2348 2008-09-16
1639201932 Amber Pope Pediatrics 402 Dickinson St # 8774, Suite Mpf 1-140, San Diego, CA 92103-6902 2007-03-12
1528031457 Eileen Marie Hoke Pediatrics Nmcsd Nicu, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2006-02-10
1366785644 Nikolai Shalygin Pediatrics 3020 Childrens Way, San Diego, CA 92123-4223 2013-04-04
1356585954 San Diego Neonatology, Inc. Pediatrics 3003 Health Center Dr, San Diego, CA 92123-2700 2009-04-27
1326297730 Shandee Miquelle Hutson Pediatrics 3003 Health Center Drive, San Diego, CA 92354-2804 2008-09-10
1407024995 Sandra Lawrynowicz Leibel Pediatrics 3020 Childrens Way, San Diego, CA 92123-4223 2008-02-18
1427255868 Kathryn Ann Johnson Pediatrics 200 W Arbor Dr, San Diego, CA 92103-9000 2007-06-29
1942405469 Farhad B. Imam Pediatrics 3020 Childrens Way, Mc5008, San Diego, CA 92123-4223 2007-06-15
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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