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

Etienne Maria Vasconcellosde Macedo, MD

Individual provider Nephrology Physician · NPI 1265951172

Etienne Maria Vasconcellosde Macedo, MD is a Nephrology in San Diego, California. Qualified in 1996, 30 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4168 Frnt ST
San Diego, CA 92103-2030
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9452 Medical Center Dr # Mc0982, La Jolla, CA 92037-1337 — (858) 246-2085
  • 9350 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A176287 (CA)

Record details

NPI number1265951172
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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