Organization Active NPI

Elizabeth R. Hudler, M.D. Apc

  • Psychiatry Physician
  • Del Mar, CA
National Provider Identifier
1255978169
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELIZABETH R. HUDLER, M.D. APC
Practice address
1125 Camino del Mar Ste F
Del Mar, CA 92014-2645
Phone
(858) 208-3280
Fax
(858) 605-4595
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Elizabeth Ruth Hudler, MDNPI 1134287352
Title
President
Phone
(858) 208-3280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1125 Camino del Mar Ste F
Del Mar, CA 92014-2645

Mailing address

1125 Camino del Mar Ste F
Del Mar, CA 92014-2645
Phone (858) 208-3280

Other identifiers 1

IdentifierTypeStateIssuer
3588836MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabeth@hudlermd.com Direct

National Provider Directory

National Provider Directory

Locations

1125 Camino del Mar
Ste F
Del Mar, CA 92014
Phone (858) 208-3280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1255978169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CAMINO DEL MAR STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142645",
            "telephone_number": "858-208-3280",
            "fax_number": "858-605-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CAMINO DEL MAR STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142645",
            "telephone_number": "858-208-3280",
            "fax_number": "858-605-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R. HUDLER, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "HUDLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-208-3280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3588836",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabeth@hudlermd.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 Camino Del Mar Ste F",
            "city": "Del Mar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920142645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.