Individual provider Active NPI

John Craig Elliott, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1821042292
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85668 Issued in CA
Practice address
1975 4TH St FL 3
San Francisco, CA 94143-2351
Phone
(415) 353-1565
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25631 AZ
Pediatrics Physician 208000000X A85668 CA Primary
Pediatrics Physician 208000000X 25631 AZ
Hospitalist Physician 208M00000X A85668 CA

Addresses

Primary practice location

1975 4TH St FL 3
San Francisco, CA 94143-2351

Mailing address

4000 Civic Center Dr Ste 206
San Rafael, CA 94903-5233
Phone (415) 925-8070

Other practice location 1

4000 Civic Center Dr Ste 206
San Rafael, CA 94903-5233
Phone (415) 925-8070

Other identifiers 1

IdentifierTypeStateIssuer
472100MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321001883 CA Practitioner - Pediatric Medicine 0547270530 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85668CAMDMarriage & Family Therapist
25631AZMDPediatrics Physician
A85668CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Pediatrics CurrentSince Jun 30, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 6, 2025 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 6, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 6, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Mar 6, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Pediatric Hospitalists of Arizona, P.C. Pediatrics PastSince Jan 1, 2005 Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients

Locations (25 of 26)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

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

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

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1975 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-1565

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

Interoperability endpoints

  • Direct secure messaging: jelliott1657669@oc.providencedirect.org
  • Direct secure messaging: jelliott384873@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1821042292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "415-925-8070",
            "fax_number": "415-461-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432351",
            "telephone_number": "415-353-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Civic Center Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949035233",
            "country_code": "US",
            "telephone_number": "415-925-8070",
            "fax_number": "415-461-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "25631",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85668",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "25631",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A85668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.