Individual provider Active NPI

Elissaios Karageorgiou, M.D.

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1972746154
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A125912 Issued in CA
Practice address
675 Nelson Rising LN
Memory and Aging Center MC: 1207, Suite 190
San Francisco, CA 94158-0003
Phone
(415) 476-5591
Fax
(415) 476-5573
NPI assigned
Apr 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A125912 CA Primary

Addresses

Primary practice location

675 Nelson Rising LN
Memory and Aging Center MC: 1207, Suite 190
San Francisco, CA 94158-0003

Mailing address

675 Nelson Rising LN
Memory and Aging Center MC: 1207, Suite 190
San Francisco, CA 94158-0003
Phone (415) 476-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125912CAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1972746154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 NELSON RISING LN",
            "address_2": "MEMORY AND AGING CENTER MC: 1207, SUITE 190",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941580003",
            "telephone_number": "415-476-5591",
            "fax_number": "415-476-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 NELSON RISING LN",
            "address_2": "MEMORY AND AGING CENTER MC: 1207, SUITE 190",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941580003",
            "telephone_number": "415-476-5591",
            "fax_number": "415-476-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAGEORGIOU",
        "first_name": "ELISSAIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A125912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.