Active NPI
Yelena Brambila
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1821571118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA55958
- Practice address
- 2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823 - Phone
- (415) 578-3100
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005957 | CO | |
| Physician Assistant | 363A00000X | PA55958 | CA | Primary |
Addresses
Primary practice location
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
6521 Reflection Dr Apt 109
San Diego, CA 92124-3109
Phone (415) 509-5938
Other practice location 2
278 Town Center Pkwy Ste 105
Santee, CA 92071-5809
Phone (619) 713-7880
Other practice location 3
278 Town Center Pkwy Ste 105
Santee, CA 92071-5809
Phone (619) 713-7880
Other practice location 4
2801 Purcell St
Brighton, CO 80601
Phone (303) 659-9700
Other practice location 5
9850 Genesee Ave Ste 320
LA Jolla, CA 92037-1208
Phone (858) 864-9800
Other names 1
- Yelena Yeremenko
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55958 | CA | MD | General Practice Dentistry |
| PA55958 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients |
Organizations & group practices 3
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
- La Jolla, CA
- NPI 1134309305
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1821571118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMBARCADERO CTR LBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113823",
"telephone_number": "415-578-3100"
}
],
"practiceLocations": [
{
"address_1": "6521 Reflection Dr Apt 109",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921243109",
"country_code": "US",
"telephone_number": "415-509-5938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "278 Town Center Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Santee",
"state": "CA",
"postal_code": "920715809",
"country_code": "US",
"telephone_number": "619-713-7880",
"fax_number": "619-449-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "278 Town Center Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Santee",
"state": "CA",
"postal_code": "920715809",
"country_code": "US",
"telephone_number": "619-713-7880",
"fax_number": "619-449-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 Purcell St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "CO",
"postal_code": "80601",
"country_code": "US",
"telephone_number": "303-659-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 Genesee Ave Ste 320",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371208",
"country_code": "US",
"telephone_number": "858-864-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAMBILA",
"first_name": "YELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005957",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA55958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YELENA",
"last_name": "YEREMENKO",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.