Elaine Louise Pico, M.D.

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

G83371 Issued in CA

Practice address

3031 Telegraph Ave Ste 241
Berkeley, CA 94705-2053

Phone

(510) 558-8074

Fax

(510) 923-0378

NPI assigned

Jul 23, 2006

Sex

Female

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Elaine L Pico, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Oakland, CA
  • NPI 1922272525
  NPD (past) Authorized official
• Children'S Hospital & Research Center at Oakland

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1003961251
  NPD (past)
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• Lucile Salter Packard Children'S Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1467442749
  NPD (past)
• University of California San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528080462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20059",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946200059",
            "telephone_number": "510-558-8074",
            "fax_number": "510-923-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TELEGRAPH AVE STE 241",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052053",
            "telephone_number": "510-558-8074",
            "fax_number": "510-923-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICO",
        "first_name": "ELAINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "G83371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL/MEDICAID NUMBER",
            "identifier": "00G833710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Pi, RPH
• Piera Piagentini, RN MFT
• Fred Joseph Piazza, PH.D.
• Lauren Piccinini, MS, ATC
• Courtney Wedl Pickering, M.D.
• Andrew Pienkny, MD
• Erin Pierce, RN
• Jennifer Nichole Pierce
• Kathleen Suzanne Pierce, PSYD
• Bianca Pierre

• Pediatric Rehabilitation Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pediatric Rehabilitation Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.