Robert Richard Elliston, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G23976 Issued in CA

Practice address

1750 El Camino Real
Ste 103
Burlingame, CA 94010-3210

Phone

(650) 692-2020

Fax

(650) 692-1441

NPI assigned

May 28, 2005

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Peninsula Ophthalmology Group, Inc.

  • Ophthalmology Physician
  • Burlingame, CA
  • NPI 1447303995
  Medicare reassignment NPD
• Robert R. Elliston, M.D.

  • Ophthalmology Physician
  • Burlingame, CA
  • NPI 1831244938
  NPD (past) Authorized official

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386647824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "STE 103",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103210",
            "telephone_number": "650-692-2020",
            "fax_number": "650-692-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "STE 103",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103210",
            "telephone_number": "650-692-2020",
            "fax_number": "650-692-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISTON",
        "first_name": "ROBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G23976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G23976",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elife Tech Inc
• Elite Care Home Health Agency, Inc.
• Elite Connect Hospice Care, Inc.
• David Ellison, M.D.
• Melissa Ellison
• Elizabeth Rose Elmschig, M.D., M.P.H
• Ralph Cameron Emmott, MD
• Timothy Engelmann, PHD
• Epic Nursing Anesthesia Inc
• Kim S Erlich, M.D.

• Ophthalmology Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.