Active NPI
Saba Eslami, PA-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1568846046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53305
- Practice address
- 2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111 - Phone
- (415) 578-3100
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9383625-1206 | UT | |
| Physician Assistant | 363A00000X | PA53305 | CA | Primary |
Addresses
Primary practice location
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111
Mailing address
130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
Other practice location 1
2395 Lombard St
San Francisco, CA 94123
Phone (415) 796-2242
Other practice location 2
2395 Lombard St
San Francisco, CA 94123
Phone (415) 796-2242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA53305 | Other | CA | PHYSICIAN ASSISTANT BOARD - MEDICAL BOARD OF CALIFORNIA |
| 9383625-1206 | Other | UT | STATE OF UTAH DOPL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA53305 | CA | MD | Physician Assistant |
| 9383625-1206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1568846046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMBARCADERO CTR LBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94111",
"telephone_number": "415-578-3100"
}
],
"practiceLocations": [
{
"address_1": "2395 Lombard St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94123",
"country_code": "US",
"telephone_number": "415-796-2242",
"fax_number": "415-796-3841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2395 Lombard St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94123",
"country_code": "US",
"telephone_number": "415-796-2242",
"fax_number": "415-796-3841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESLAMI",
"first_name": "SABA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "9383625-1206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT BOARD - MEDICAL BOARD OF CALIFORNIA",
"identifier": "PA53305",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF UTAH DOPL",
"identifier": "9383625-1206",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.