Margaret Vaughan Elizondo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G71918 Issued in CA

Practice address

7860 Forrestal Rd
San Diego, CA 92120-2207

Phone

(619) 507-4652

Fax

(619) 425-5869

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Grossmont Family Medical Group, Inc.

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1427099720

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1386696466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 FORRESTAL RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202207",
            "telephone_number": "619-507-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 FORRESTAL RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202207",
            "telephone_number": "619-507-4652",
            "fax_number": "619-425-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "MARGARET",
        "middle_name": "VAUGHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G071918",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G71918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG719180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizondo-Fessler
• Ana Luisa Elizondo, MSPT
• Bernardo Elizondo, PA-C
• Elizabeth Elizondo, RN
• Lindsay Elizondo, PSY.D.
• Sam Eljammal, M.D.
• Eljean LLC
• Eslam Elkarmouty
• Zakaria Elkhodary
• Amy Patricia Elkind, RN

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.