Radwan Elqossari

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

1345 Willow Rd Unit 203
Menlo Park, CA 94025-1681

Phone

(415) 349-1872

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1710712740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WILLOW RD UNIT 203",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WILLOW RD UNIT 203",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251681",
            "telephone_number": "415-349-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELQOSSARI",
        "first_name": "RADWAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ec Neuropsychological Health PC
• Emily Edelson, MS, RD
• Gary Griffin Eggers, D.D.S.
• Justine Ekdawy
• Marnie Laico Elizaga, MD
• Chuck Emig
• Emily Edelson Nutrition LLC (Food Ease Nutrition)
• Carlin Eng
• Jo English, D.C.
• Mary L English, RN MS CNS

• Transportation Network Company in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Transportation Network Company in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.