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Individual provider Active NPI

Ebony Yvonne Tinsley

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1285101956
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56153 Issued in CA
Practice address
26 California St
San Francisco, CA 94111-4803
Phone
(415) 781-7077
Fax
(415) 621-0611
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56153 CA Primary

Addresses

Primary practice location

26 California St
San Francisco, CA 94111-4803

Mailing address

442 Spring St
Richmond, CA 94804-2936
Phone (510) 417-1492

Other practice location 1

2 Connecticut St
San Francisco, CA 94107-2451
Phone (415) 621-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123001715 CA Practitioner - Physician Assistant 0648517037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

6121 Hollis St
Emeryville, CA 94608-2077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56153CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PA56153CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Apr 20, 2020 Accepting new patients
Webster Orthopaedic Medical Group, a Professional Corporation CurrentSince Dec 3, 2018 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

1133 E Stanley Blvd
Ste 111
Livermore, CA 94550
Phone (925) 371-5377

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

200 Porter Dr
Ste 215
San Ramon, CA 94583
Phone (925) 362-2166

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

Interoperability endpoints

  • Direct secure messaging: etinsley259273@direct.stanfordhealthcare.org

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1285101956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SPRING ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948042936",
            "telephone_number": "510-417-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114803",
            "telephone_number": "415-781-7077",
            "fax_number": "415-621-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Connecticut St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941072451",
            "country_code": "US",
            "telephone_number": "415-621-5055",
            "fax_number": "415-621-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "EBONY",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.