Individual provider Active NPI

Jasmine R Elison, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Francisco, CA
National Provider Identifier
1740219583
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
C203788 Issued in CA
Practice address
1445 Bush St
San Francisco, CA 94109-5520
Phone
(415) 972-4600
Fax
(415) 975-0999
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X C203788 CA Primary
Ophthalmology Physician 207W00000X C203788 CA

Addresses

Primary practice location

1445 Bush St
San Francisco, CA 94109-5520

Mailing address

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Other practice location 1

35 Maple St
Sonoma, CA 95476-7014
Phone (415) 972-4600

Other practice location 2

100 Tamal Plz Ste 120
Corte Madera, CA 94925-1176
Phone (415) 972-4600

Other identifiers 1

IdentifierTypeStateIssuer
1020206MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Retina Medical Group IncGroup PAC ID 6608860713, 8 clinicians

Practice addresses (Care Compare)

100 Tamal Vista Blvd
Suite 120
Corte Madera, CA 94925-1125
Phone (415) 972-4600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C203788CAMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: jelison@rvno.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1740219583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Maple St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767014",
            "country_code": "US",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Tamal Plz Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251176",
            "country_code": "US",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELISON",
        "first_name": "JASMINE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "C203788",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C203788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020206",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.