Elizabeth Anne Waldman, D.O

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

13601 Issued in CA

Practice address

17140 Bernardo Center Dr Ste 300
San Diego, CA 92128-2000

Phone

(833) 783-7411

Fax

(858) 716-8101

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Rogers Behavioral Health, Inc.

  dba Rogers Behavioral Health

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1538700471
  NPD (past)
• Rogers Behavioral Health, Inc.

  dba Rogers Behavioral Health

  • Clinic/Center
  • San Diego, CA
  • NPI 1972065241
  NPD (past)

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1699092338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 CLIFFRIDGE CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372116",
            "telephone_number": "304-646-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17140 BERNARDO CENTER DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282000",
            "telephone_number": "833-783-7411",
            "fax_number": "858-716-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "13601",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "13601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Danae Walcott
• Walden Environment (Walden Family Services)
• Anna C. Walden, PH.D.
• George Joseph Waldenmaier, MD, MPHTM
• Elizabeth J Waldheim, PHD
• Haley Elizabeth Waldman, FNP-BC
• Justin Waldman, BCBA
• Lynn Dora Waldman, LCSW
• Rory Waldman
• Arianna Waldo

• Child & Adolescent Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.