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Sarah Elizabeth Chisholm

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as SARAH CHISHOLM.

Based on the most recent information from CMS, provider Sarah Elizabeth Chisholm is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1396495701
Provider Type
Individual
Full Name
Chisholm, Sarah Elizabeth
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/28/2022
Last Updated
7/10/2025

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Mailing Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A202479 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sarah Elizabeth Chisholm

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Erfani, Seamae

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Patel, Umaben

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