Individual provider Active NPI

Lisa V. Elvin, NP

  • Nurse Practitioner
  • Larkspur, CA
National Provider Identifier
1083746887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8864 Issued in CA
Practice address
2 Bon Air Rd
Suite 120
Larkspur, CA 94939-1141
Phone
(415) 927-5300
Fax
(415) 927-5242
NPI assigned
Mar 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8864 CA Primary

Addresses

Primary practice location

2 Bon Air Rd
Suite 120
Larkspur, CA 94939-1141

Mailing address

2 Bon Air Rd
Suite 120
Larkspur, CA 94939-1141
Phone (415) 927-5300

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
I20050503001367 CA Practitioner - Nurse Practitioner 5193765758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Aug 11, 2023 Accepting new patients
California Orthopedics & Spine Inc CurrentSince Nov 21, 2009 Accepting new patients
California Orthopedics & Spine Inc CurrentSince Nov 21, 2009 Accepting new patients
Bay Area Pain Medical Associates Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

18 Bon Air Rd
Larkspur, CA 94939
Phone (415) 927-5300

2 Bon Air Rd
Larkspur, CA 94939
Phone (415) 441-6012

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3 Harbor Dr
Ste 115
Sausalito, CA 94965
Phone (415) 380-0480

Interoperability endpoints

  • Direct secure messaging: lelvin308464@direct-ucsfmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083746887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 120",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 120",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIN",
        "first_name": "LISA",
        "middle_name": "V.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.