Elaine Pendoley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

577145 Issued in CA

Practice address

4750 Date Ave
La Mesa, CA 91942-9214

Phone

(619) 668-5700

NPI assigned

Oct 28, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• La Mesa-Spring Valley School District

  • Local Education Agency (LEA)
  • La Mesa, CA
  • NPI 1356566038
  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1881301943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 GRANADA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 DATE AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429214",
            "telephone_number": "619-668-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDOLEY",
        "first_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "577145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Peck, D.O.
• John J. Peckham, M.D,
• Sunanda M Pejavar, M.D.
• Pablo Rixiery Pelayo-Aguilar, DPT
• Raquel Pena
• Mark W Penn, M.D.
• Jeffrey Penta
• Eleni Pentheroudakis, MD
• Adriana Peraza-Garcia, PPS
• Liana Perera

• Registered Nurse in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.