Elena Nimon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15562 Issued in CA

Practice address

280 Baldwin Ave
San Mateo, CA 94401-3915

Phone

(650) 344-1121

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1104091412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 HILLCREST AVE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316305",
            "telephone_number": "925-754-6767",
            "fax_number": "925-754-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-344-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMON",
        "first_name": "ELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Domenica Nieri, L.M.F.T.
• Leslie Ivette Nieves, MFT
• Nightingale Birth, Inc.
• Jason Niksch
• Damon Nim
• Nina Bratcher, Licensed Clinical Social Worker, PC
• Doris Nishimoto, D.D.S.
• Nitxies, LLC
• Grace C Niu, PH.D
• Erica Nocera

• Medical Physician Assistant in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.