Elizabeth N Boulette (NPI# 1164506366, PAC ID# 0648588277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1164506366 |
| PAC ID by PECOS | 0648588277 |
| Professional Enrollment ID | I20151001001939 |
| Full Name | Elizabeth N Boulette |
| Organization Legal Name | PARADISE VALLEY MEDICAL GROUP, INC. |
| Address |
2400 E 4th St National City CA 91950-2099 |
| Phone Number | 6194704321 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2365538709 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050024 | PARADISE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2400 E 4th St, National City, CA 91950-2099 | 6194704321 | PARADISE VALLEY MEDICAL GROUP, INC. |
| Organization Legal Name | PARADISE VALLEY MEDICAL GROUP, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis L Spence | Certified Registered Nurse Anesthetist | Paradise Valley Medical Group, Inc. | 2400 E 4th St, National City, CA 91950-2099 |
| John D Beckes | Internal Medicine | Paradise Valley Medical Group, Inc. | 655 Euclid Ave, Suite 408, National City, CA 91950-2957 |
| Street Address |
2400 E 4TH ST |
| City | NATIONAL CITY |
| State | CA |
| Zip | 91950-2099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro G Hinojosa | Internal Medicine | Paradise Valley Medical Group Inc | 2400 E 4th St, National City, CA 91950-2099 |
| Paulina G Quintana | Pathology | 2400 E 4th St, Dept of Pathology, National City, CA 91950-2026 | |
| Sivaraman K Gounder | Internal Medicine | Paradise Valley Medical Group Inc | 2400 E 4th St, National City, CA 91950-2099 |
| Ujvala A Sawkar | Pathology | Paulina G Quintana M D Inc | 2400 E 4th St, Dept of Pathology, National City, CA 91950-2026 |
| Dennis L Spence | Certified Registered Nurse Anesthetist | Paradise Valley Medical Group, Inc. | 2400 E 4th St, National City, CA 91950-2099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Saleh | Family Medicine | 408 W 8th St, National City, CA 91950-1002 | |
| Hanna Dale Foley | Physical Therapy | San Diego Spine and Sport, Inc | 1626 Sweetwater Rd A and B, National City, CA 91950-1002 |
| Rogelio Hernandez | Physical Therapy | San Diego Spine and Sport, Inc | 1626 Sweetwater Rd A and B, National City, CA 91950-1002 |
| Alex K Han | Family Practice | Assured Healthcare | 408 W 8th St, National City, CA 91950-1002 |
| Felisa U Velesrubio | Infectious Disease | 614 E 4th St, National City, CA 91950-1346 | |
| Robert J Carlson | Family Medicine | 36 N Euclid Ave, National City, CA 91950-1955 | |
| Allison Kornblatt | Emergency Medicine | Pacific Paradise Emergency Physicians Medical Group Inc | 2400 E 4 St, Paradise Valley Hospital, National City, CA 91950-2026 |
| Dao Vang | Nurse Practitioner | Pacific Paradise Emergency Physicians Medical Group Inc | 2400 E 4 St, Paradise Valley Hospital, National City, CA 91950-2026 |
| Nima Jalali | Emergency Medicine | Pacific Paradise Emergency Physicians Medical Group Inc | 2400 E 4 St, Paradise Valley Hospital, National City, CA 91950-2026 |
| Paul J Manos | Emergency Medicine | Pacific Paradise Emergency Physicians Medical Group Inc | 2400 E 4 St, Paradise Valley Hospital, National City, CA 91950-2026 |
| Find all physicians in zip 91950 | |||
| City | NATIONAL CITY |
| Zip Code | 91950 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | NATIONAL CITY + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Elizabeth N Boulette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.