Individual provider Active NPI

Anthony Emmanuel Elite, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1659443067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C33418 Issued in CA
Practice address
70 A St Germain Ave
San Francisco, CA 94114-2130
Phone
(415) 845-8266
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C33418 CA Primary

Addresses

Primary practice location

70 A St Germain Ave
San Francisco, CA 94114-2130

Mailing address

70 A St Germain Ave
San Francisco, CA 94114-2130
Phone (415) 845-8266

Other identifiers 1

IdentifierTypeStateIssuer
AE4747892OtherBNDD #

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221000460 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 7012162555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33418CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659443067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 A ST GERMAIN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142130",
            "telephone_number": "415-845-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 A ST GERMAIN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142130",
            "telephone_number": "415-845-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELITE",
        "first_name": "ANTHONY",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C33418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD #",
            "identifier": "AE4747892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.