Individual provider Active NPI

Elias Qaru, PA

  • Physician Assistant
  • Fremont, CA
National Provider Identifier
1952285140
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66860 Issued in CA
Practice address
3155 Kearney St Ste 100
Fremont, CA 94538-2268
Phone
(510) 931-4310
NPI assigned
Aug 1, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66860 CA Primary

Addresses

Primary practice location

3155 Kearney St Ste 100
Fremont, CA 94538-2268

Mailing address

3155 Kearney St Ste 100
Fremont, CA 94538-2268
Phone (510) 931-4310

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: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Medicine and Cardiology IncGroup PAC ID 5597035030, 6 clinicians

Practice addresses (Care Compare)

3155 Kearney St
Suite 100
Fremont, CA 94538-2268
Phone (510) 931-4310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66860CAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1952285140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 KEARNEY ST STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382268",
            "telephone_number": "510-931-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 KEARNEY ST STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382268",
            "telephone_number": "510-931-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QARU",
        "first_name": "ELIAS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.