Active NPI
Eldercare Specialists of California LLC
- Case Management Agency
- San Rafael, CA
National Provider Identifier
1003672932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ELDERCARE SPECIALISTS OF CALIFORNIA LLC
- Practice address
- 1000 4TH St Ste 150
San Rafael, CA 94901-3115 - Phone
- (415) 259-4864
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Cygan
- Title
- Compliance Associate
- Phone
- (858) 287-3077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1000 4TH St Ste 150
San Rafael, CA 94901-3115
Mailing address
7777 Fay Ave Ste 210
La Jolla, CA 92037-4325
Phone (858) 257-3077
National Provider Directory
National Provider DirectoryLocations
21 Tamal Vista Blvd
Ste 130
Corte Madera, CA 94925
Phone (415) 269-4481
1000 4th St
Ste 150
San Rafael, CA 94901
Phone (415) 259-4864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1003672932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FAY AVE STE 210",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374325",
"telephone_number": "858-257-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST STE 150",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013115",
"telephone_number": "415-259-4864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDERCARE SPECIALISTS OF CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "CYGAN",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "COMPLIANCE ASSOCIATE",
"authorized_official_telephone_number": "858-287-3077"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.