NPIMap

Individual provider Active NPI

Elizabeth L Etemad, D.O.

  • Family Medicine Physician
  • Greenbrae, CA
National Provider Identifier
1881682458
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6888 Issued in CA
Practice address
100 Drakes Landing Rd # a
Suite 225
Greenbrae, CA 94904-2404
Phone
(415) 924-1214
Fax
(415) 924-1375
NPI assigned
Oct 7, 2005
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6888 CA Primary

Addresses

Primary practice location

100 Drakes Landing Rd # a
Suite 225
Greenbrae, CA 94904-2404

Mailing address

100 Drakes Landing Rd # a
Suite 225
Greenbrae, CA 94904-2404
Phone (415) 924-1214

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
I20050711000864 CA Practitioner - Family Practice 7113953183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions141
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6888CAMDAcupuncturist
20A6888CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Nov 1, 2018 Accepting new patients
Prima Medical Foundation CurrentSince Oct 10, 2010 Accepting new patients
Prima Medical Group, Inc. Family Medicine PastSince May 1, 2010 Accepting new patients
Prima Medical Foundation Past Accepting new patients
Marin General Hospital Past Accepting new patients
Marin Healthcare District PastSince Oct 1, 2016 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

100A Drakes Landing Rd
Ste 225
Greenbrae, CA 94904
Phone (415) 924-1214

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5 Bon Air Rd
Ste 101
Larkspur, CA 94939
Phone (415) 924-1214

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

181 Andrieux St
Ste 201
Sonoma, CA 95476
Phone (707) 938-3870

Interoperability endpoints

  • Direct secure messaging: eetemad106663@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1881682458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DRAKES LANDING RD # A",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042404",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DRAKES LANDING RD # A",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042404",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMAD",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.