MEDICARE: MRS. NANCY JEAN ELDRIDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAADE	CA

General Provider Information

NPI Number	:	1912025677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY JEAN ELDRIDGE

Provider Business Mailing Address
First Line	:	8495 SUNRISE AVE
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91941-5523
Country	:	US
Telephone Number	:	619-599-5303
Fax Number	:	619-287-4146

Provider Business Practice Location Address
First Line	:	6244 EL CAJON BLVD
Second Line	:	SUITE 15
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3918
Country	:	US
Telephone Number	:	619-287-8225
Fax Number	:	619-287-4146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1073993853 — JAMES M IBARRA
Practice Location Address:

6244 EL CAJON BLVD , SAN DIEGO
SAN DIEGO, CA
92115-3918

Practice Phone: 619-640-3266
Practice Fax: 619-640-3269

1730276031 — DR. MEGAN EILEEN CLARKE DDS
Practice Location Address:

6244 EL CAJON BLVD STE 8
SAN DIEGO, CA
92115-3918

Practice Phone: 619-583-5400
Practice Fax: 619-583-5983

1063542611 — ROBERT J SANTORO DDS
Practice Location Address:

6244 EL CAJON BLVD , STE 1
SAN DIEGO, CA
92115-3918

Practice Phone: 619-583-1100
Practice Fax: 619-583-8301

1841320470 — AARON N FIDDELKE DDS
Practice Location Address:

6244 EL CAJON BLVD , STE 1
SAN DIEGO, CA
92115-3918

Practice Phone: 619-583-1100
Practice Fax: 619-583-8301

1487788402 — KELLY PAUL MINOR
Practice Location Address:

6244 EL CAJON BLVD STE 15
SAN DIEGO, CA
92115-3918

Practice Phone: 619-287-8225
Practice Fax: 619-287-4146

Directions to “ MRS. NANCY JEAN ELDRIDGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.