NPIMap

Individual provider Active NPI

Elwyn Clement Cabebe, MD

  • Medical Oncology Physician
  • San Jose, CA
National Provider Identifier
1821067281
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A84778 Issued in CA
Practice address
2589 Samaritan Dr
San Jose, CA 95124
Phone
(408) 426-4900
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84778 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A84778 CA
Medical Oncology Physician 207RX0202X A84778 CA Primary

Addresses

Primary practice location

2589 Samaritan Dr
San Jose, CA 95124

Mailing address

2589 Samaritan Dr
San Jose, CA 95124-4102
Phone (408) 426-4900

Other identifiers 1

IdentifierTypeStateIssuer
00A847780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000342 CA Practitioner - Medical OncologyPractitioner - Internal Medicine 7517910094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Vermont College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84778CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Nov 30, 2016 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Apr 30, 2018 Accepting new patients
Stanford Health Care CurrentSince Apr 30, 2018 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
El Camino Hospital Past Accepting new patients
St. Mary'S Good Samaritan Hospital, Inc. Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20055 Lake Chabot Rd
Ste 130
Castro Valley, CA 94546
Phone (510) 888-0657

15400 National Ave
Ste 201
Los Gatos, CA 95032
Phone (408) 358-8444

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5725 W Las Positas Blvd
Ste 100
Pleasanton, CA 94588

2589 Samaritan Dr
Fl 3
San Jose, CA 95124
Phone (669) 233-2363

2589 Samaritan Dr
San Jose, CA 95124
Phone (408) 357-1060

300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ecabebe13130@direct.whhs.com
  • Direct secure messaging: ecabebe125577@santaclaravalley.direct-ci.net
  • Direct secure messaging: ecabebe41194@direct.stanfordhealthcare.org

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 11

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1821067281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "408-426-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-426-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABEBE",
        "first_name": "ELWYN",
        "middle_name": "CLEMENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84778",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A84778",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A84778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A847780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.