DR. ELENA P VITUG (NPI# 1285746214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285746214 |
| Entity Type | Individual |
| Full Name | DR. ELENA P VITUG |
| Credential | M.D. |
| Practice Address |
5525 Grossmont Center Dr La Mesa CA 91942-3009 |
| Practice Telephone | 8584992600 |
| Mailing Telephone | 8584992600 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A44349 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306255898 | Elena Vitug | Technician, Other | 1413 Tech Blvd Ste 122, Tampa, FL 33619-7822 | 2014-08-08 |
| Street Address |
5525 GROSSMONT CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421012 | Lee Hyland Remington-boone | Family Medicine | 5525 Grossmont Center Dr, Suite 200, La Mesa, CA 91942-3009 | 2005-07-21 |
| 1679023303 | James Sullivan | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-10-05 |
| 1033565940 | James Williams | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-05-10 |
| 1255792438 | Lisa Schnurr | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-03-15 |
| 1417316696 | Hollis Taggart Stahl | Physician Assistant | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-02-17 |
| 1598124133 | Hong Tran | Pharmacist | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2016-02-10 |
| 1578928321 | Thanhtruc Hoang Phan | Nurse Practitioner | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2015-12-22 |
| 1730593559 | Susette Var | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2014-06-19 |
| 1154746535 | Victoria Sharma Md Inc | Specialist | 5525 Grossmont Center Dr, 602, La Mesa, CA 91942-3009 | 2014-02-21 |
| 1487093126 | Maila Alindog Marinas | Registered Nurse | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2013-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700953650 | Daniel E. Spencer | Pediatrics | San Diego La Mesa, 3875 Avacado Blvd, La Mesa, CA 91941 | 2006-11-29 |
| 1487746855 | Huda Y Alsheikh | Pediatrics | 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942-3135 | 2006-09-29 |
| 1417914268 | Bertha F Tsai-tulagan | Pediatrics | 6942 University Ave Ste A, La Mesa, CA 91942 | 2006-04-26 |
| 1982686200 | Bina Adigopula | Pediatrics | 6942 University Ave, #a, La Mesa, CA 91942-5963 | 2005-11-14 |
| 1538685524 | Nicole Molinos | Pediatrics | 6942 University Ave Ste A, La Mesa, CA 91942-5963 | 2017-08-21 |
| 1134416282 | Eric John Meyer Reed | Pediatrics | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2011-07-08 |
| 1225322183 | Diana Grace Stafford | Pediatrics | 5525 Grossmont Center Dr, La Mesa, CA 91942 | 2011-06-07 |
| 1063702694 | Sara Susanne Rourke | Pediatrics | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2011-04-16 |
| 1497071443 | Maria Regina Abesa Delozier | Pediatrics | 8881 Fletcher Parkway, Suite 200, La Mesa, CA 91942 | 2010-04-15 |
| 1689841322 | Theodore Chiwan Ng | Pediatrics | 3875 Avocado Blvd, La Mesa, CA 91941-7303 | 2008-05-12 |
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| 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.