Active NPI
Elisabeth Prosser Bellows, M.D.
- Psychiatry Physician
- Redwood City, CA
National Provider Identifier
1912066739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G50067
- Practice address
- 617 Veterans Blvd.
Suite #107
Redwood City, CA 94063 - Phone
- (650) 306-8909
- Fax
- (650) 306-8910
- NPI assigned
- Dec 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G50067 | CA | Primary |
Addresses
Primary practice location
617 Veterans Blvd.
Suite #107
Redwood City, CA 94063
Mailing address
617 Veterans Blvd.
Suite #107
Redwood City, CA 94063
Phone (650) 306-8909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G50067 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 25, 2016 through Oct 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50067 | CA | MD | Pharmacist |
| G50067 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1912066739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 VETERANS BLVD.",
"address_2": "SUITE #107",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-306-8909",
"fax_number": "650-306-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 VETERANS BLVD.",
"address_2": "SUITE #107",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-306-8909",
"fax_number": "650-306-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOWS",
"first_name": "ELISABETH",
"middle_name": "PROSSER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G50067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "G50067",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.