Edgar Gabriel Celis, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C131803 Issued in CA

Practice address

1050 Northgate Dr Ste 460
San Rafael, CA 94903-2542

Phone

(415) 249-4244

Fax

(415) 249-4245

NPI assigned

Oct 19, 2006

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novato Community Hospital Hospital, Novato, CA, CCN 050131
• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: edgar.celis@3296.securemail.prognocis.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgar Celis MD Inc

  • Interventional Pain Medicine Physician
  • San Rafael, CA
  • NPI 1609350669
  Medicare reassignment NPD Authorized official
• Peninsula Orthopedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Daly City, CA
  • NPI 1154464329
  Medicare reassignment Care Compare group NPD
• Blue Eagle Anesthesia Inc a Professional Corporation

  • Anesthesiology Physician
  • Daly City, CA
  • NPI 1396822326
  Medicare reassignment NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Seton Medical Center

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1679608640
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)

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

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1851473268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 460",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032542",
            "telephone_number": "415-249-4244",
            "fax_number": "415-249-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR STE 460",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032542",
            "telephone_number": "415-249-4244",
            "fax_number": "415-249-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Sullivan Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152204",
            "country_code": "US",
            "telephone_number": "415-249-4244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Hickey Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152630",
            "country_code": "US",
            "telephone_number": "415-249-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELIS",
        "first_name": "EDGAR",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME96425",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C131803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "progncocis",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1050 Northgate Dr Ste 460",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949032542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriana Cazares
• Daniel Cearley
• Nerina M. Cecchin, IMF
• Rejoice Caintoy Celeste
• Noemi Celio, AUD
• Andre Frank Ceniceros
• Center for Domestic Peace
• Center Point
• Center Point
• Center Point Residential Program

• Anesthesiology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.