Active NPI
Robert Eldabaje, MD
- Hospitalist Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A136378
- Practice address
- 1100 Van Ness Ave
San Francisco, CA 94109-6978 - Phone
- (415) 600-3458
- Fax
- (415) 558-7020
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A136378 | CA | |
| Hospitalist Physician | 208M00000X | A136378 | CA | Primary |
Addresses
Primary practice location
1100 Van Ness Ave
San Francisco, CA 94109-6978
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-3458
Other practice location 1
2351 Clay St
Suite 308
San Francisco, CA 94115-1931
Phone (415) 600-6000
Other practice location 2
2340 Clay St Fl 2
San Francisco, CA 94115-1932
Phone (415) 600-3458
Other practice location 3
2351 Clay St Ste 308
San Francisco, CA 94115
Phone (415) 600-3458
Other practice location 4
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A136378 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Texas Medical School at San Antonio, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- Sutter Medical Center, Sacramento
- California Pacific Medical Ctr-Davies Campus Hosp
- Adventist Health Ukiah Valley
- Adventist Health Clearlake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136378 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Marin Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440
3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940
2340 Clay St
Fl 2
San Francisco, CA 94115
Phone (415) 600-3458
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760
2351 Clay St
Ste 308
San Francisco, CA 94115
Phone (415) 600-3458
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- reldabaje347984@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- Greenbrae, CA
- NPI 1023041753
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Internal Medicine
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1609211176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-3458",
"fax_number": "415-558-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096978",
"telephone_number": "415-600-3458",
"fax_number": "415-558-7020"
}
],
"practiceLocations": [
{
"address_1": "2351 Clay St",
"address_2": "Suite 308",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941151931",
"country_code": "US",
"telephone_number": "415-600-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 Clay St Fl 2",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941151932",
"country_code": "US",
"telephone_number": "415-600-3458",
"fax_number": "415-600-3451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2351 Clay St Ste 308",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94115",
"country_code": "US",
"telephone_number": "415-600-3458",
"fax_number": "415-600-3451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Van Ness Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941096919",
"country_code": "US",
"telephone_number": "415-600-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELDABAJE",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A136378",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A136378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A136378",
"state": "CA"
}
],
"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 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.