Active NPI
Elizabeth Yi Qin, MD PHD
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1194285924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A182494
- Practice address
- 401 Parnassus Ave
San Francisco, CA 94143-2211 - Phone
- (415) 476-7000
- NPI assigned
- Mar 19, 2019
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A182494 | CA | Primary |
Addresses
Primary practice location
401 Parnassus Ave
San Francisco, CA 94143-2211
Mailing address
401 Parnassus Avenue
Box-0984
San Francisco, CA 94143
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201214000015 | CA | Order and Referring Only - Psychiatry | 8820400054 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182494 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- lifestancehealth.elizabethqin@148377.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1194285924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVENUE",
"address_2": "BOX-0984",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211",
"telephone_number": "415-476-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIN",
"first_name": "ELIZABETH",
"middle_name": "YI",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A182494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.