Bernardo-Gregory, Elsie
Bernardo-Gregory, Elsie is an individual health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bernardo-Gregory, Elsie can be contacted via phone (760) 631-5000.Contact Information
Primary practice address
1000 Vale Terrace Dr
Vista CA 92084-5218
Phone: (760) 631-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 362664 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15257 | California |
Profile Details
| NPI number | 1588808349 |
|---|---|
| LBN Legal business name | Bernardo-Gregory, Elsie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Feb 16th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588808349 | NPPES |
| California | MEDICAID | GR0054810 |
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