Clivens Elie Fils

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10011485 Issued in OR

Practice address

5424 Sunol Blvd Ste 10
Pleasanton, CA 94566-7705

Phone

(561) 667-3788

NPI assigned

Aug 21, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Post Acute Behavioral Health

  • Psychiatry Physician
  • Bellevue, WA
  • NPI 1972339737

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1003690314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 SUNOL BLVD",
            "address_2": "STE 10",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667705",
            "telephone_number": "561-667-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 SUNOL BLVD STE 10",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667705",
            "telephone_number": "561-667-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIE FILS",
        "first_name": "CLIVENS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61468824",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "APRN-218080",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyke F. Edwards, MD
• Barbara T. Egan, M.D.
• Adesua Eichie, PHARMD
• Laura Michelle Eklund, LCSW
• Joseph Dominic Elia, MD
• Elite Acupuncture
• Becki Jo Ellis, PTA
• Theodore Elpedes
• Emergency Services of Kansas, P.a.
• Christina Emrich, L.AC

• Psychiatric/Mental Health Nurse Practitioner in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.