Individual provider Active NPI

Ann Edelman

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1396683298
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020896 Issued in CA
Practice address
11800 Carmel Creek Rd Apt 356
San Diego, CA 92130-2774
Phone
(805) 451-7892
NPI assigned
Mar 23, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020896 CA Primary

Addresses

Primary practice location

11800 Carmel Creek Rd Apt 356
San Diego, CA 92130-2774

Mailing address

11800 Carmel Creek Rd Apt 356
San Diego, CA 92130-2774
Phone (805) 451-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11800 Carmel Creek Rd
Apt 356
San Diego, CA 92130-2675

2424 Vista Way
Suite 105
Oceanside, CA 92054-6178

296 H St
Suite 303
Chula Vista, CA 91910-4753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95020896CAMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1396683298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CARMEL CREEK RD APT 356",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302774",
            "telephone_number": "805-451-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CARMEL CREEK RD APT 356",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302774",
            "telephone_number": "805-451-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.