Individual provider Active NPI

Ilana Katsnelson, M.D.

  • Pediatric Adolescent Medicine Physician
  • Daly City, CA
National Provider Identifier
1730471699
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A56327 Issued in CA
Practice address
333 Gellert Blvd Ste 119
Daly City, CA 94015-2690
Phone
(415) 361-6212
Fax
(415) 480-8443
NPI assigned
May 11, 2011
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A56327 CA
Pediatric Adolescent Medicine Physician 2080A0000X A56327 CA Primary

Addresses

Primary practice location

333 Gellert Blvd Ste 119
Daly City, CA 94015-2690

Mailing address

333 Gellert Blvd Ste 119
Daly City, CA 94015-2690
Phone (415) 361-6212

Other practice location 1

300 Harding Blvd Ste 201
Roseville, CA 95678-2473
Phone (916) 260-6079

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A56327CAMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: afterhourspediatricsurgentcare.ilanakatsnelson@129385.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1730471699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 119",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152690",
            "telephone_number": "415-361-6212",
            "fax_number": "415-480-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 119",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152690",
            "telephone_number": "415-361-6212",
            "fax_number": "415-480-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Harding Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782473",
            "country_code": "US",
            "telephone_number": "916-260-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSNELSON",
        "first_name": "ILANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56327",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A56327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.