Individual provider Active NPI

Autumn Dawn Eglitis, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Mateo, CA
National Provider Identifier
1992116610
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
A150389 Issued in CA
Practice address
1875 S Grant St Ste 760
San Mateo, CA 94402-2670
Phone
(888) 227-8884
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276876 MA
Family Medicine Physician 207Q00000X MD192399 OR
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X A150389 CA Primary

Addresses

Primary practice location

1875 S Grant St Ste 760
San Mateo, CA 94402-2670

Mailing address

1875 S Grant St Ste 760
San Mateo, CA 94402-2670
Phone (888) 227-8884

Other practice location 1

5050 NE Hoyt St Ste 454
Portland, OR 97213-2984
Phone (503) 215-6405

Other practice location 2

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800 ext. 4872

Other names 1

  • Autumn Dawn Metzger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aeglitis1146944@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, WA, UT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170825000603 CA Practitioner - Family Practice 0143508366 Reassigns benefits to 1 organization
I20190911003781 OR Practitioner - Family Practice 0143508366 Reassigns benefits to 1 organization
I20231205001675 WA Practitioner - Hospice/Palliative Care 0143508366 Reassigns benefits to 1 organization
I20240119003597 UT Practitioner - Hospice/Palliative Care 0143508366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resolutioncare PCGroup PAC ID 9133444508, 7 clinicians
Vynca Medical Associates PAGroup PAC ID 4789058660, 6 clinicians

Practice addresses (Care Compare)

1875 S Grant St
Suite 760
San Mateo, CA 94402-2670
Phone (707) 442-5683

2355 State St
Suite 101
Salem, OR 97301-4541
Phone (888) 227-8884

555 W Riverside Ave
Suite N
Spokane, WA 99201-0503
Phone (888) 227-8884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD192399ORMDFamily Medicine Physician
A150389CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vynca Medical Associates PA Hospice and Palliative Medicine CurrentSince Mar 7, 2023 Accepting new patients

Locations

517 3rd St
Ste 2
Eureka, CA 95501
Phone (707) 442-5683

1875 S Grant St
Ste 760
San Mateo, CA 94402
Phone (707) 442-5683

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

5255 S 4015 W
Ste 207D
Taylorsville, UT 84129

Interoperability endpoints

  • Direct secure messaging: aeglitis1146944@oc.providencedirect.org
  • Direct secure messaging: autumn.eglitis.1@10606.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1992116610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S GRANT ST STE 760",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022670",
            "telephone_number": "888-227-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S GRANT ST STE 760",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022670",
            "telephone_number": "888-227-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 NE Hoyt St Ste 454",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132984",
            "country_code": "US",
            "telephone_number": "503-215-6405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281920",
            "country_code": "US",
            "telephone_number": "617-569-5800 x4872",
            "fax_number": "617-568-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGLITIS",
        "first_name": "AUTUMN",
        "middle_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "276876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD192399",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A150389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aeglitis1146944@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5050 NE Hoyt St Ste 454",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "METZGER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.