Individual provider Active NPI

Kevin Ryan Eitel, PA-C

  • Physician Assistant
  • San Mateo, CA
National Provider Identifier
1811583263
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58942 Issued in CA
Practice address
2950 S Delaware St Ste 150
San Mateo, CA 94403-2591
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X PA58942 CA
Physician Assistant 363A00000X 58942 CA Primary

Addresses

Primary practice location

2950 S Delaware St Ste 150
San Mateo, CA 94403-2591

Mailing address

1669 Laurel St
San Carlos, CA 94070-5216
Phone (650) 888-6733

Other practice location 1

1005 Van Ness Ave
San Francisco, CA 94109-6913
Phone (415) 233-9901

Other practice location 2

325 Sharon Park Dr Ste F3
Menlo Park, CA 94025-6848
Phone (888) 663-6331

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
I20210119000854 CA Practitioner - Physician Assistant 9537572250 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

2950 S Delaware St
Suite 150
San Mateo, CA 94403-2591
Phone (888) 663-6331

329 Primrose Rd
Burlingame, CA 94010-4037
Phone (650) 288-1200

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58942CAMDPharmacist
PA58942CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Mar 28, 2025 Accepting new patients
One Medical Group, Inc. CurrentSince Apr 22, 2024 Accepting new patients
University of California San Francisco CurrentSince Mar 28, 2025 Accepting new patients
One Medical Group, Inc CurrentSince Apr 22, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
University of California San Francisco CurrentSince Mar 28, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
El Camino Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1801 Shattuck Ave
Ste A
Berkeley, CA 94709
Phone (510) 225-1025

329 Primrose Rd
Burlingame, CA 94010
Phone (650) 288-1200

325 Sharon Park Dr
Ste F3
Menlo Park, CA 94025

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2950 S Delaware St
Ste 150
San Mateo, CA 94403

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1811583263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705216",
            "telephone_number": "650-888-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S DELAWARE ST STE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032591",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096913",
            "country_code": "US",
            "telephone_number": "415-233-9901",
            "fax_number": "833-464-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Sharon Park Dr Ste F3",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940256848",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EITEL",
        "first_name": "KEVIN",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "PA58942",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.