Nancy A Clementino, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G85653 Issued in CA

Practice address

285 N El Camino Real
#114
Encinitas, CA 92024

Phone

(760) 436-4511

Fax

(760) 436-5106

NPI assigned

Jan 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nclementino9483@radychildrens.direct-ci.com
• Direct secure messaging: nclementino43077@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1619948619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "#200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-636-4300",
            "fax_number": "858-636-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL",
            "address_2": "#114",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-436-4511",
            "fax_number": "760-436-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTINO",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G85653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "G85653",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Christopher Churukian, M.D.
• Cipperoni Sports Chiropractic, Inc.
• Anthony Cipperoni, DC
• Shayda Clarke, DC
• Claudia Cortadi, DDS Inc.
• Clinton H. Park, D.D.S., Inc
• Paul Andrew Clonts, LCSW
• Christine Elizabeth Clotfelter, D.O.
• Cloud Nine Clinical Consultants
• Pamela E. Cloud, M.P.T.

• Pediatrics Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.