Individual provider Active NPI

Elizabeth Marie Hausmann, D.O. M.P.H.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1629422605
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A15982 Issued in CA
Practice address
3350 La Jolla Village Dr
San Diego, CA 92161-2804
Phone
(760) 643-2000
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15982 CA Primary

Addresses

Primary practice location

3350 La Jolla Village Dr
San Diego, CA 92161-2804

Mailing address

3550 La Jolla Village Dr
San Diego, CA 92161-0001

Other identifiers 1

IdentifierTypeStateIssuer
9335OtherCANATIONAL BOARD OF PUBLIC HEALTH EXAMINERS CERTIFICATE OF PUBLIC HEALTH

Other names 1

  • Elizabeth Marie Cummings 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106001182 CA Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Preventive Medicine 9335552660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15982CAMDFamily Medicine Physician
15982CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: ecummings94827@direct.llu.edu

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1629422605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921612804",
            "telephone_number": "760-643-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "D.O. M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF PUBLIC HEALTH EXAMINERS CERTIFICATE OF PUBLIC HEALTH",
            "identifier": "9335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CUMMINGS",
            "middle_name": "MARIE",
            "credential": "D.O. M.P.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.