Active NPI
Brian Dean Elchinoff, DPM
- Podiatrist
- Concord, CA
National Provider Identifier
1609855964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3215
- Practice address
- 2272 Bacon Street
Concord, CA 94520 - Phone
- (925) 676-3933
- Fax
- (925) 609-7255
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3215 | CA | Primary |
Addresses
Primary practice location
2272 Bacon Street
Concord, CA 94520
Mailing address
2272 Bacon Street
Concord, CA 94520
Phone (925) 676-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E3215 | Other | CA | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3215 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609855964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2272 BACON STREET",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-676-3933",
"fax_number": "925-609-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2272 BACON STREET",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-676-3933",
"fax_number": "925-609-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELCHINOFF",
"first_name": "BRIAN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E3215",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.