Elaine L Pico, M.D.

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

G83371 Issued in CA

Legal business name

ELAINE L PICO, M.D.

Practice address

2825 International Blvd
Room Rc121
Oakland, CA 94601-1543

Phone

(510) 558-8074

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Elaine L Pico, M.D.NPI 1528080462

Title

Owner

Phone

(510) 558-8074

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Elaine Louise Pico, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Berkeley, CA
  • NPI 1528080462
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1922272525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20059",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946200059",
            "telephone_number": "510-558-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 INTERNATIONAL BLVD",
            "address_2": "ROOM RC121",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011543",
            "telephone_number": "510-558-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE L PICO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PICO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-558-8074",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "G83371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMS162039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily El-Oqlah
• Osama Mohamed El-Sayed, MD, PHD
• Ahmed Sabry El-Sokkary, PSYD
• Leila El-Wakil, MD
• Jesus El
• Cathryn Faye Elam
• Kalaivani Elango, M.D
• Ahmed Zakaria Elattma, MD
• Aimee Elazegui
• Joshua Elbaum

• Pediatric Rehabilitation Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Rehabilitation Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.