Organization Active NPI

Robert R. Elliston, M.D.

  • Ophthalmology Physician
  • Burlingame, CA
National Provider Identifier
1831244938
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G23976 Issued in CA
Legal business name
ROBERT R. ELLISTON, M.D.
Practice address
1750 El Camino Real
Suiet 103
Burlingame, CA 94010-3228
Phone
(650) 692-2020
Fax
(650) 692-1441
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Robert Richard Elliston, M.D.NPI 1386647824
Title
Owner
Phone
(650) 692-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G23976 CA Primary

Addresses

Primary practice location

1750 El Camino Real
Suiet 103
Burlingame, CA 94010-3228

Mailing address

1750 El Camino Real
Suiet 103
Burlingame, CA 94010-3228
Phone (650) 692-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1831244938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUIET 103",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-692-2020",
            "fax_number": "650-692-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUIET 103",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-692-2020",
            "fax_number": "650-692-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. ELLISTON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "ELLISTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-692-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G23976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.