Individual provider Active NPI

Elisabeth Leslie Goldstein, RN, NP

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1003183708
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
19981 Issued in CA
Practice address
1171 Mission St
San Francisco, CA 94103-1519
Phone
(415) 734-4231
Fax
(415) 734-4218
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 730174 CA
Adult Health Nurse Practitioner 363LA2200X 19981 CA Primary

Addresses

Primary practice location

1171 Mission St
San Francisco, CA 94103-1519

Mailing address

1171 Mission St
San Francisco, CA 94103-1519
Phone (415) 734-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002870 CA Practitioner - Nurse Practitioner 6406144682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

220 Golden Gate Ave
San Francisco, CA 94102-3795
Phone (415) 355-7400

555 Stevenson St
San Francisco, CA 94103-1606
Phone (628) 217-5800

Hospital & facility affiliations

  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
730174CAMDRegistered Nurse
19981CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Aug 15, 2016 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Aug 15, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1003183708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031519",
            "telephone_number": "415-734-4231",
            "fax_number": "415-734-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031519",
            "telephone_number": "415-734-4231",
            "fax_number": "415-734-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ELISABETH",
        "middle_name": "LESLIE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "730174",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "19981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.