Elvie Espiritu, M.D.

Individual provider Active NPI Family Medicine Physician · Seaside, CA

NPI 1487915385 · NPPES record last updated Jun 7, 2012

Key facts

NPI
1487915385
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
A33453 (CA)
Practice address
1780 Fremont Blvd
Suite H
Seaside, CA 93955-3629
Phone
(831) 394-0615
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A33453CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cecilia Loleng Past Accepting new patients
Hercules Medical Clinic Inc Family Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A33453 CA Yes

Addresses

Primary practice location

1780 Fremont Blvd
Suite H
Seaside, CA 93955-3629

Mailing address

1780 Fremont Blvd
Suite H
Seaside, CA 93955-3629
Phone (831) 394-0615

Other providers in Seaside, CA

All providers in Seaside, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.