Pamela Michelle De Mers, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

17460 Issued in CA

Practice address

34730 Bob Wilson Dr
Building 3, Floor 4
San Diego, CA 92134-3400

Phone

(619) 532-7177

NPI assigned

Dec 18, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1881878528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34730 BOB WILSON DR",
            "address_2": "BLDG3, FLOOR 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343400",
            "telephone_number": "619-532-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34730 BOB WILSON DR",
            "address_2": "BUILDING 3, FLOOR 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343400",
            "telephone_number": "619-532-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MERS",
        "first_name": "PAMELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "17460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AS399Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lito Apple De Luca, ACSW
• Rene Suzanne De Luca, LCSW
• Ashley De Luna, ND
• Kean Troy Lusterio De Luna
• Tiffany Hebe De Marquez-Carles, NP
• Ma Kristel De Mesa
• Amy De Meules, LCSW
• Mia De Nava
• Cyndie Claypool De Neve, AMFT
• Julian De Obsidiana

• Adult Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.