Individual provider Active NPI

Elainie D Doringo, M.D.

  • Pediatrics Physician
  • El Cajon, CA
National Provider Identifier
1013005636
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70842 Issued in CA
Practice address
250 E. Chase Ave.
Ste 108
El Cajon, CA 92020-6035
Phone
(619) 265-3400
Fax
(619) 265-3407
NPI assigned
Oct 10, 2006
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70842 CA Primary

Addresses

Primary practice location

250 E. Chase Ave.
Ste 108
El Cajon, CA 92020-6035

Mailing address

3860 Calle Fortunada
Ste 200
San Diego, CA 92123-4802
Phone (858) 502-1135

Other names 1

  • Elainie Oliveria Devillena Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70842CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Children's Primary Care Medical Group, Inc. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edoringo104273@radychildrens.direct-ci.com
  • Direct secure messaging: edoringo80422@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1013005636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234802",
            "telephone_number": "858-502-1135",
            "fax_number": "858-636-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E. CHASE AVE.",
            "address_2": "STE 108",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206035",
            "telephone_number": "619-265-3400",
            "fax_number": "619-265-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORINGO",
        "first_name": "ELAINIE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINIE",
            "last_name": "DEVILLENA",
            "middle_name": "OLIVERIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.