Individual provider Active NPI

Emma Marie Todd, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1043560428
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004847 Issued in MD
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
NPI assigned
Sep 13, 2012
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012525 MI
Physician Assistant 363A00000X C0004847 MD Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

2830 Arborview Dr Apt 24
Traverse City, MI 49685-7331

Other practice location 1

2175 NW Raleigh St Ste 110
Portland, OR 97210-2392
Phone (888) 803-3370

Other practice location 2

755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925
Phone (888) 803-3370

Other practice location 3

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (888) 803-3370

Other practice location 4

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-6600

Other practice location 5

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180608000771 CA Practitioner - Physician Assistant 8224288501 Reassigns benefits to 1 organization
I20250821003079 MI Practitioner - Physician Assistant 8224288501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925

333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370

333 1St St a
San Francisco, CA 94105-2661

3570 N US 31
Traverse City, MI 49684-4542
Phone (231) 486-2573

9065 E 34 Rd
Cadillac, MI 49601-8851
Phone (231) 577-5017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55341CAMDGeneral Practice Dentistry
C0004847MDMDPhysician Assistant
5601012525MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Dec 20, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 20, 2021 Accepting new patients
Munson Medical Center CurrentSince Sep 30, 2025 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1043560428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 ARBORVIEW DR APT 24",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496857331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 NW Raleigh St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102392",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 W Big Beaver Rd Ste 2020",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844925",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3074 N US 31 S",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844533",
            "country_code": "US",
            "telephone_number": "231-929-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "EMMA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012525",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.