Active NPI
Elson M Haas, M.D.
- Allergy & Immunology Physician
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G251970
- Practice address
- 25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007 - Phone
- (415) 472-2343
- Fax
- (415) 472-7636
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G251970 | CA | Primary |
Addresses
Primary practice location
25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007
Mailing address
25 Mitchell Blvd
Suite 8
San Rafael, CA 94903-2007
Phone (415) 472-2343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G251970 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Michigan Medical School, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4340 Redwood Hwy
Suite a 22
San Rafael, CA 94903-2121
Phone (415) 472-2343
Hospital & facility affiliations
- Marinhealth Medical Center
- Novato Community Hospital
- Alta Bates Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.83 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 86.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G251970 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventive Medical Center of Marin Inc | Current | Accepting new patients | |
| Rasnow Integrative Wellness Inc | Past | Accepting new patients |
Locations
25 Mitchell Blvd
Ste 8
San Rafael, CA 94903
Phone (415) 472-2343
4340 Redwood Hwy
Ste A22
San Rafael, CA 94903
Phone (415) 472-2343
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- San Rafael, CA
- NPI 1912067828
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1801438015
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740318112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MITCHELL BLVD",
"address_2": "SUITE 8",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032007",
"telephone_number": "415-472-2343",
"fax_number": "415-472-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MITCHELL BLVD",
"address_2": "SUITE 8",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032007",
"telephone_number": "415-472-2343",
"fax_number": "415-472-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "ELSON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G251970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G251970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.