Broheen Joseph Elias, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18545 Issued in CA

Practice address

3000 Colby St
Suite 301
Berkeley, CA 94705-2058

Phone

(510) 540-6800

Fax

(510) 540-6805

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lamont J Cardon MD a Professional Corporation

  • Orthopaedic Hand Surgery Physician
  • Berkeley, CA
  • NPI 1295768745
  Medicare reassignment
• Webster Orthopaedic Medical Group, a Professional Corporation

  • Orthopaedic Surgery Physician
  • Castro Valley, CA
  • NPI 1275564528
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164586681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5371",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948050371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-540-6800",
            "fax_number": "510-540-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "BROHEEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elephant Pharmacy Operating Corp
• John B Elford
• Selsabeel Elghandour
• Manuel Martin Elguera
• Alaa Elhaj, MD
• Eliasieh Medical Corporation
• Kasra Eliasieh, M.D.
• Neda G Elijah, OD
• Alexandra M. Elite, LCSW
• Elizabeth Slass Lee a Medical Corporation

• Physician Assistant in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physician Assistant in California

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.