Active NPI
Annaliese Gabrielle Elam
- Emergency Medicine Physician
- Alamo, CA
National Provider Identifier
1669053328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 343336
- Practice address
- 28 Darlene CT
Alamo, CA 94507-1855 - Phone
- (925) 588-9917
- NPI assigned
- Apr 15, 2021
- Last updated
- Aug 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 343336 | NY | Primary |
Addresses
Primary practice location
28 Darlene CT
Alamo, CA 94507-1855
Mailing address
28 Darlene CT
Alamo, CA 94507-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
700 Hicksville Rd
Suite 205
Bethpage, NY 11714-3472
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1669053328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 DARLENE CT",
"city": "ALAMO",
"state": "CA",
"postal_code": "945071855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 DARLENE CT",
"city": "ALAMO",
"state": "CA",
"postal_code": "945071855",
"telephone_number": "925-588-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAM",
"first_name": "ANNALIESE",
"middle_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "343336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamo, CA
- Antonia Margareta Cyrus, D.D.S.
- Dhaval Patel Dental Corporation (Alamo Smiles Dental Group)
- Diablo Muir Podiatry Group
- Catherine Fay Dunn, R.D
- East Bay Speech Pathology Inc.
- June Annette Engle, MD
- Expansion Dental (Alamo Dental Excellence)
- Joseph John Fanucchi, MD
- Figone Chiropractic, Inc. (Absolute Chiropractic)
- Gabriella Filippi, NBH-WC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.