Eternal Health Medical of California, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ETERNAL HEALTH MEDICAL OF CALIFORNIA, P.C.

Practice address

1183 Old Mason Street
San Francisco, CA 94123

Phone

(855) 621-2061

NPI assigned

Nov 3, 2025

Organization subpart

No

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

Authorized official

Name

Alex Mather

Title

Chief Administrative Officer

Phone

(855) 621-2061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1104795772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 OLD MASON STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 OLD MASON STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94123",
            "telephone_number": "855-621-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HEALTH MEDICAL OF CALIFORNIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "855-621-2061"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Jordan Estudillo Jr., DC
• Ololade Abiodun Esuruoso, RN
• Meghana Eswarappa
• John C Etcheverry, D.C.
• Cathleen Anne Etcheveste, RN
• Ari U. Etheridge, M.D.
• Ethio Bay Services, LLC
• Lisa Marie Ethridge
• Michele Etzbach, PA-C
• Joan E. Etzell, M.D.

• Primary Care Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.