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

Elise M. Tetelman, PA-C, MBA

Individual provider Medical Physician Assistant · NPI 1225530686

Elise M. Tetelman, PA-C, MBA is a Physician Assistant in San Diego, California. Graduated from Mercy College in 2017, 9 years ago. Licensed in California.

Years since qualifying
9
Trained at
Mercy College
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

5776 Ruffin Rd
San Diego, CA 92123-1013
Phone: (858) 292-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA64605 (CA)

Record details

NPI number1225530686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MBA
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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