Gafra Elizzani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107775 Issued in CA

Practice address

1208 Fitzgerald Dr
Pinole, CA 94564-2252

Phone

(510) 210-8907

NPI assigned

Aug 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Priya Patel Dental Corporation

  • Dentist
  • Pinole, CA
  • NPI 1285008987
  NPD (past)

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1679201917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 PRIMROSE LN",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641974",
            "telephone_number": "510-283-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 FITZGERALD DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642252",
            "telephone_number": "510-210-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZZANI",
        "first_name": "GAFRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Ophthalmology
• East Bay Sleep Medical Group
• East Bay Surgical Associates Medical Group
• Eastshore Pediatric Dental Group
• Edward Jang DDS Inc
• Ellen a. Marzan Chiropractic, Inc.
• Ilya Erenberg, M.A.
• Erick N. Cuenca DMD Inc
• Beverly Estes, MD
• Evan Eulner

• Dentist in Pinole, CA
• Providers in Pinole, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.