Individual provider Active NPI

Eleanor M McCart

  • Gerontology Nurse Practitioner
  • Lemon Grove, CA
National Provider Identifier
1467910075
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1467910075 Issued in CA
Practice address
1544 Watwood Rd
Lemon Grove, CA 91945-4054
Phone
(619) 852-7813
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1467910075 CA Primary

Addresses

Primary practice location

1544 Watwood Rd
Lemon Grove, CA 91945-4054

Mailing address

1544 Watwood Rd
Lemon Grove, CA 91945-4054
Phone (619) 852-7813

Other names 1

  • Eleanor M Booton Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230001385 CA Practitioner - Nurse Practitioner 3678907607 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1467910075CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dansin, Inc CurrentSince Oct 15, 2019 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince May 19, 2025 Accepting new patients
WT Health of California LLC CurrentSince Aug 14, 2025 Accepting new patients

Locations

296 H St
Ste 303
Chula Vista, CA 91910
Phone (619) 476-7958

750 Medical Center Ct
Ste 5
Chula Vista, CA 91911
Phone (619) 482-0082

2060 Otay Lakes Rd
Ste 220
Chula Vista, CA 91913
Phone (619) 397-5001

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1467910075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WATWOOD RD",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454054",
            "telephone_number": "619-852-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WATWOOD RD",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454054",
            "telephone_number": "619-852-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCART",
        "first_name": "ELEANOR",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "1467910075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "BOOTON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.