Individual provider Active NPI

Elaine Ann Cristan, M.D.

  • Pulmonary Disease Physician
  • San Bernardino, CA
National Provider Identifier
1477812089
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C183255 Issued in CA
Practice address
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone
(909) 883-8711
NPI assigned
May 16, 2012
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56512 AZ
Pulmonary Disease Physician 207RP1001X C183255 CA Primary

Addresses

Primary practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Mailing address

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

Other practice location 1

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180912000882 AZ Practitioner - Pulmonary Disease 3072826965 Reassigns benefits to 1 organization
I20230118002287 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3072826965 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Integra Health, PCGroup PAC ID 5991056921, 5 clinicians

Practice addresses (Care Compare)

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-3500

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

44605 Avenida de Missiones
Suite 206
Temecula, CA 92592-5001
Phone (951) 200-5154

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C183255CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Dec 1, 2024 Accepting new patients
El-Bershawi Medical Corp Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Dec 1, 2024 Accepting new patients
Integra Health, PC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Nov 15, 2022 Accepting new patients
Sound Physicians Intensivists of Arizona, Inc Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Pacific Professional Surgical Group Inc PastSince Sep 24, 2023 Accepting new patients

Locations

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

16305 Sand Canyon Ave
Ste 230
Irvine, CA 92618
Phone (949) 557-0130

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

44605 Avenida de Missiones
Ste 206
Temecula, CA 92592
Phone (951) 200-5154

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1477812089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-883-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-883-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4234 Riverwalk Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053312",
            "country_code": "US",
            "telephone_number": "951-781-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISTAN",
        "first_name": "ELAINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "56512",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C183255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.