Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Lynn Eaton, NURSEPRACTITIONER

Individual provider Family Medicine Physician · NPI 1669611299

Audrey Lynn Eaton, NURSEPRACTITIONER is a Nurse Practitioner in San Diego, California. Qualified in 2008, 18 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1075 Camino Del Rio S
San Diego, CA 92108-3538
Phone: (619) 881-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 18489 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 18489 (CA)

Record details

NPI number1669611299
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 4, 2009
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego