Individual provider Active NPI

Elizabeth Avelar Freitas, NP

  • Nurse Practitioner
  • Pleasanton, CA
National Provider Identifier
1417427469
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009325 Issued in CA
Practice address
5924 Stoneridge Dr Ste 206
Pleasanton, CA 94588-5400
Phone
(925) 469-9120
Fax
(925) 469-9121
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009325 CA Primary

Addresses

Primary practice location

5924 Stoneridge Dr Ste 206
Pleasanton, CA 94588-5400

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (312) 428-3018

Other practice location 1

2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2325

Other practice location 2

615 Ocean St
Santa Cruz, CA 95060-4005
Phone (831) 425-7991

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311002322 CA Practitioner - Nurse Practitioner 2769721695 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009325CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors on Duty Medical Group, Inc CurrentSince Apr 11, 2025 Accepting new patients
Albion Medical Partners of California West P C CurrentSince Jul 14, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

615 Ocean St
Santa Cruz, CA 95060
Phone (831) 425-7991

Interoperability endpoints

  • Direct secure messaging: elizabeth.freitas.7@32527.direct.athenahealth.com
  • Direct secure messaging: elizabeth.freitas.1@29786.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1417427469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "312-428-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 206",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-469-9120",
            "fax_number": "925-469-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 Chanticleer Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651815",
            "country_code": "US",
            "telephone_number": "831-477-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Ocean St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604005",
            "country_code": "US",
            "telephone_number": "831-425-7991",
            "fax_number": "831-425-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "ELIZABETH",
        "middle_name": "AVELAR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.