Individual provider Active NPI

Elisabeth G Cain, PA-C

  • Physician Assistant
  • Sausalito, CA
National Provider Identifier
1750701736
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1017 Issued in NH
Practice address
2330 Marinship Way Ste 370
Sausalito, CA 94965
Phone
(415) 887-9758
NPI assigned
Apr 17, 2014
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1017 NH Primary
Dermatology Physician 207N00000X 56731 CA
Physician Assistant 363A00000X 56731 CA

Addresses

Primary practice location

2330 Marinship Way Ste 370
Sausalito, CA 94965

Mailing address

2330 Marinship Way Ste 370
Sausalito, CA 94965-2853
Phone (415) 887-9758

Other identifiers 2

IdentifierTypeStateIssuer
56731OtherCAPA-C
1017OtherNHSTATE LICENSE

Other names 1

  • Elisabeth G Novak Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elisabeth@southernmarinderm.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925002255 CA Practitioner - Physician Assistant 5698993467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Marin Dermatology IncGroup PAC ID 2668614447, 6 clinicians

Practice addresses (Care Compare)

2330 Marinship Way
Suite 370
Sausalito, CA 94965-2853
Phone (415) 887-9758

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
80.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1017NHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jose E Peraza MD PLLC Dermatology PastSince Nov 3, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1750701736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "94965",
            "telephone_number": "415-887-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "ELISABETH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1017",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "56731",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C",
            "identifier": "56731",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1017",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisabeth@southernmarinderm.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2330 Marinship Way Ste 370",
            "city": "Sausalito",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "NOVAK",
            "middle_name": "G",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sausalito, CA

Sources for this page

Verify at the official NPI Registry.