Individual provider Active NPI

Gerald Eugene Eliaser, M.D.

  • Family Medicine Physician
  • Sebastopol, CA
National Provider Identifier
1558474270
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40198 Issued in CA
Practice address
258 Washington CT
Sebastopol, CA 95472-3170
Phone
(707) 888-3313
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G40198 CA Primary

Addresses

Primary practice location

258 Washington CT
Sebastopol, CA 95472-3170

Mailing address

258 Washington CT
Sebastopol, CA 95472-3170
Phone (707) 888-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
University of California, San Francisco School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

123 Commercial St
Cloverdale, CA 95425-3214

258 Washington CT
Sebastopol, CA 95472-3170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40198CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Center CurrentSince Dec 10, 2018 Accepting new patients
Alliance Medical Center CurrentSince Dec 10, 2018 Accepting new patients

Locations

1557 Healdsburg Ave
Ste 16
Healdsburg, CA 95448

1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234

8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494

Interoperability endpoints

  • Direct secure messaging: geliaser253760@direct.ochin.org

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.

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1558474270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723170",
            "telephone_number": "707-888-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WASHINGTON CT",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723170",
            "telephone_number": "707-888-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASER",
        "first_name": "GERALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G40198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.