Active NPI
Paul Mark Elizondo III, D.O.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1245506732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A13023
- Practice address
- 401 Parnassus Ave # RTP-0984
UCSF Lppi
San Francisco, CA 94143-0984 - Phone
- (415) 476-7577
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 20A13023 | CA | Primary |
Addresses
Primary practice location
401 Parnassus Ave # RTP-0984
UCSF Lppi
San Francisco, CA 94143-0984
Mailing address
401 Parnassus Ave
San Francisco, CA 94143-2211
Phone (415) 476-7357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13023 | CA | MD | Psychiatry Physician |
| 13023 | CA | MD | Critical Care Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1245506732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211",
"telephone_number": "415-476-7357",
"fax_number": "415-476-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE # RTP-0984",
"address_2": "UCSF LPPI",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430984",
"telephone_number": "415-476-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZONDO",
"first_name": "PAUL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A13023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
- Ben Elitzur, M.D.
- Yazan Eliyan, MD
- Elizabeth Bruns MD Ms (Waterbird Psychiatry)
- Elizabeth Ferluga, M.D., P.C. (CareND Provider Group of California PC)
- Elizabeth Swenson, M.D., P.C. (Teal Medical Group of California, P.C.)
- Elizrena Acuhealth Inc
- Manal Elkarra, M.D.
- Elke Marksteiner Cooke, a Medical Corporation (Bruhl Aesthetics)
- Amro Elkhatieb, DDS
- Jesse Elkin Rubin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.