Susan Nancy Elftman, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10805(EXP04-2011) Issued in CA

Practice address

1760 Termino
#223 Chisato Oba MD
Long Beach, CA 90804

Phone

(562) 344-1280

Fax

(562) 344-1285

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By the provider in NPPES

Sex

Female

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

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10603880
• Direct secure messaging: susanelftman@clchc.allscriptsdirect.net

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

• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD
• Sano Medical Clinic, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1306939624
  NPD

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1194952853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO",
            "address_2": "#223 CHISATO OBA MD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-344-1280",
            "fax_number": "562-344-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO",
            "address_2": "#223 CHISATO OBA MD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-344-1280",
            "fax_number": "562-344-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFTMAN",
        "first_name": "SUSAN",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10805(EXP04-2011)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse A Eldred, LMFT
• Elements Marriage, Family, Couples, and Individual Therapy Corp
• Elevate Home Health, LLC (Elevate Home Health)
• Elevate Home Health, LLC (Elevate Personal Care)
• Noor Elfarra
• Carolina Elias
• Greggory Nicolas Elias, DC
• Raquel Elias
• Marie Eliason, RD
• Maribel Silva Eliopulos

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.