Active NPI
Elizabeth Ann Landsverk, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Burlingame, CA
National Provider Identifier
1144264581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G86242
- Practice address
- 1633 Bayshore Highway
Suite 245
Burlingame, CA 94010 - Phone
- (650) 357-8834
- Fax
- (650) 357-8811
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G86242 | CA | Primary |
Addresses
Primary practice location
1633 Bayshore Highway
Suite 245
Burlingame, CA 94010
Mailing address
1633 Bayshore Highway
Suite 245
Burlingame, CA 94010
Phone (650) 357-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 15, 2014 through Sep 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1144264581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 BAYSHORE HIGHWAY",
"address_2": "SUITE 245",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-357-8834",
"fax_number": "650-357-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 BAYSHORE HIGHWAY",
"address_2": "SUITE 245",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-357-8834",
"fax_number": "650-357-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSVERK",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G86242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.