Individual provider Active NPI

Elizabeth Zeid, PA-C

  • Physician Assistant
  • Pleasanton, CA
National Provider Identifier
1578887980
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52738 Issued in CA
Practice address
5000 Pleasanton Ave Ste 120
Pleasanton, CA 94566-7052
Phone
(925) 277-1123
NPI assigned
Mar 15, 2010
Reactivated
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52738 CA Primary

Addresses

Primary practice location

5000 Pleasanton Ave Ste 120
Pleasanton, CA 94566-7052

Mailing address

5000 Pleasanton Ave Ste 120
Pleasanton, CA 94566-7052

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
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

192 Beverly Ave
San Leandro, CA 94577-1922

400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA52738CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: elizabeth.zeid@13475020865540.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1578887980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052",
            "telephone_number": "925-277-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEID",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "deactivation_date": "2018-10-30",
        "reactivation_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.