Elena Maria Bautista Sacamay, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A063422 Issued in CA

Practice address

4004 Beyer Blvd
San Ysidro, CA 92173

Phone

(619) 428-4463

NPI assigned

Feb 3, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Valerie C. Altavas MD a Medical Corporation

  • Internal Medicine Physician
  • National City, CA
  • NPI 1770787004
  Medicare reassignment NPD
• Caring Hearts Medical Foundation and Health Services Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1013286707
  NPD (past)
• Iyabo Daramola MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1114938214
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1992777882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 BEYER BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732007",
            "telephone_number": "619-428-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BEYER BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "92173",
            "telephone_number": "619-428-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACAMAY",
        "first_name": "ELENA MARIA",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A063422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria del Carmen Rodriguez, M.S.
• Natalie Rodriguez, MD
• Chrystal Rosales
• Collin Ross, PHD
• Thanos George Rossopoulos, MD
• Timothy D Sahms, MD
• Nassera L Saidani, MS, PA-C
• Karen Sales, HE
• San Diego Pace, LLC
• San Ysidro School District

• Internal Medicine Physician in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.