Active NPI
Elisa Veronica Acevedo Venegas, FNP
- Nurse Practitioner
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95015273
- Practice address
- 251 Landis Ave
Chula Vista, CA 91910-2628 - Phone
- (619) 515-2500
- NPI assigned
- Sep 8, 2020
- Last updated
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61530719 | WA | |
| Nurse Practitioner | 363L00000X | 95015273 | CA | Primary |
| Nurse Practitioner | 363L00000X | RN254581 | GA |
Addresses
Primary practice location
251 Landis Ave
Chula Vista, CA 91910-2628
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300
Other names 1
- Elisa Acevedo Hinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254581 | GA | MD | Nurse Practitioner |
| AP61530719 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Centro de Salud Familiar Norcross Medical Clinic LLC | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc. | Current | Accepting new patients |
Locations
251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
5836 Buford Hwy
Ste C
Norcross, GA 30071
Phone (770) 734-9920
Interoperability endpoints
- elisa.acevedo.1@31019.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Rice Family Health Center
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1083959464
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba El Cajon Family Health Center
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1932561198
-
- Federal Public Health Clinic/Center
- Norcross, GA
- NPI 1598427130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Taylor Farms Family Health & Wellness Center
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1053926923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-515-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LANDIS AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102628",
"telephone_number": "619-515-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO VENEGAS",
"first_name": "ELISA",
"middle_name": "VERONICA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61530719",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95015273",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN254581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISA",
"last_name": "HINSON",
"middle_name": "ACEVEDO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.