Active NPI
Elizabeth Blair Bias
- Clinical Psychologist
- San Ramon, CA
National Provider Identifier
1114083623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 16873
- Practice address
- 2819 Crow Canyon Rd
Suite 219 a
San Ramon, CA 94583-1655 - Phone
- (925) 275-2797
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 16873 | CA | Primary |
Addresses
Primary practice location
2819 Crow Canyon Rd
Suite 219 a
San Ramon, CA 94583-1655
Mailing address
410 Hampton CT
San Ramon, CA 94583-2526
Phone (925) 275-2797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 3, 2023 through Mar 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 16873 | CA | MD | Clinical Psychologist |
| 16873 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114083623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 HAMPTON CT",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832526",
"telephone_number": "925-275-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 CROW CANYON RD",
"address_2": "SUITE 219 A",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831655",
"telephone_number": "925-275-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIAS",
"first_name": "ELIZABETH",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 16873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.