NPIMap

Individual provider Active NPI

Elaine Satomi Date, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Redwood City, CA
National Provider Identifier
1023107364
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G50923 Issued in CA
Practice address
363 Main St
Ste C
Redwood City, CA 94063-1729
Phone
(650) 306-9490
Fax
(650) 306-0250
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G50923 CA Primary

Addresses

Primary practice location

363 Main St
Ste C
Redwood City, CA 94063-1729

Mailing address

363 Main St
Ste C
Redwood City, CA 94063-1729
Phone (650) 306-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000483 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Orthopedic Surgery 2163595281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

1900 Ofarrell St
Suite 190
San Mateo, CA 94403-1372
Phone (650) 306-9490

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50923CAMDPhysical Medicine & Rehabilitation Physician
50923CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Aug 12, 2008 Accepting new patients
County of San Mateo CurrentSince Aug 12, 2008 Accepting new patients
Remedy Medical Group CurrentSince Jan 1, 2011 Accepting new patients
County of San Mateo CurrentSince Aug 12, 2008 Accepting new patients

Locations

380 90th St
Daly City, CA 94015
Phone (650) 301-8600

363 Main St
#C
Redwood City, CA 94063
Phone (650) 306-8928

490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: edate19141@smch.direct-ci.com

Organizations & group practices 5

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 8

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1023107364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MAIN ST",
            "address_2": "STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631729",
            "telephone_number": "650-306-9490",
            "fax_number": "650-306-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST",
            "address_2": "STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631729",
            "telephone_number": "650-306-9490",
            "fax_number": "650-306-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATE",
        "first_name": "ELAINE",
        "middle_name": "SATOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G50923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.