Individual provider Active NPI

Elizabeth Pinner, M.S.N.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • San Diego, CA
National Provider Identifier
1396769535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CA387395 Issued in CA
Practice address
8810 Rio San Diego Dr
Suite 2200
San Diego, CA 92108-1622
Phone
(619) 400-5162
Fax
(619) 400-4252
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CA387395 CA Primary

Addresses

Primary practice location

8810 Rio San Diego Dr
Suite 2200
San Diego, CA 92108-1622

Mailing address

12758 Sundance Ave
San Diego, CA 92129-2216

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CA387395CAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396769535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12758 SUNDANCE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 RIO SAN DIEGO DR",
            "address_2": "SUITE 2200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081622",
            "telephone_number": "619-400-5162",
            "fax_number": "619-400-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNER",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "CA387395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.