DR. ELYSA JILL MARCO (NPI# 1518032713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518032713 |
| Entity Type | Individual |
| Full Name | DR. ELYSA JILL MARCO |
| Credential | M.D. |
| Practice Address |
350 Parnassus Ave Ste 609 San Francisco CA 94143-0001 |
| Mailing Address |
350 Parnassus Ave Ste 609 San Francisco CA 94143-0137 |
| Practice Telephone | 4153532567 |
| Practice Fax Number | 4153532400 |
| Mailing Telephone | 4153532567 |
| Mailing Fax Number | 4153532400 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
A78152 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A781520 | 05 | |
| CA | LICENSE | A78152 | 01 |
| Street Address |
350 PARNASSUS AVE STE 609 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365577 | Richard G Glogau M D Inc | Dermatology | 350 Parnassus Ave, Suite 400, San Francisco, CA 94117-3608 | 2005-06-08 |
| 1003350539 | Sylvia Khromina | Psychologist | 350 Parnassus Ave, Suite 601, San Francisco, CA 94117-3608 | 2016-12-19 |
| 1306207550 | Sara Miller | Nurse Practitioner | 350 Parnassus Ave, Ste 300, San Francisco, CA 94117-3608 | 2016-03-16 |
| 1497141659 | Nichole Marie Werger | Registered Nurse | 350 Parnassus Ave, Ste 805, San Francisco, CA 94143 | 2015-04-14 |
| 1326381229 | Jennifer M Flores | Nurse Practitioner | 350 Parnassus Ave, Suite 404, Box 0447, San Francisco, CA 94117-3608 | 2013-03-29 |
| 1437490810 | Stephanie Dawn Straley | Physician Assistant | 350 Parnassus Ave, Suite 805, Box 0740, San Francisco, CA 94117-3608 | 2013-03-08 |
| 1013265701 | Alan Chong | Dentist | 350 Parnassus Ave, Suite 403, San Francisco, CA 94117-3608 | 2012-08-28 |
| 1770869901 | Madeleine Lansky, Md, A Professional Medical Corporation | Clinic/Center | 350 Parnassus Ave, Suite 601, San Francisco, CA 94117-3608 | 2011-11-02 |
| 1821315243 | Shereen Shakuntala Katrak | Internal Medicine | 350 Parnassus Ave, San Francisco, CA 94117-3608 | 2010-04-24 |
| 1033434691 | Marie-pierre Thibodeau | Specialist | 350 Parnassus Ave, Suite 900, Box 1207, San Francisco, CA 94117-3608 | 2010-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699971721 | Kendall Backstrand Nash | Pediatrics | 505 Parnassus Ave # 0114, San Francisco, CA 94143-2204 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406467 | Debra Nipp | Pediatrics | 1661 Tice Valley Blvd Ste 100, Walnut Creek, CA 94595-1691 | 2019-06-19 |
| 1275979973 | Kartzinel Wellness Center Inc. | Pediatrics | 16263 Laguna Canyon Rd, Suite 150, Irvine, CA 92618-3609 | 2013-05-21 |
| 1528332905 | Pantea Sharifi Hannauer, M.d. Inc. | Pediatrics | 3524 Torrance Blvd., Suite 104, Torrance, CA 90503 | 2012-03-01 |
| 1891098422 | Bayard Allmond Jr. | Pediatrics | 36 Hillcrest Rd, Berkeley, CA 94705-2807 | 2010-12-21 |
| 1366654774 | Arleen Leann House Downing | Pediatrics | 2313 Old Grand St, Santa Ana, CA 92705-6967 | 2007-05-06 |
| 1427176700 | Suzanne Goh-hattangadi | Pediatrics | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2007-03-26 |
| 1861552713 | Georgia Rae Prentice | Pediatrics | 26451 Crown Valley Pky, Mission Viejo, CA 92691 | 2006-12-11 |
| 1972615227 | Paul Michael Chretien | Pediatrics | 1111 Exposition Blvd., Bldg 700, Ste 102, Sacramento, CA 95815-4335 | 2006-08-31 |
| 1386753093 | Howard L Wolfinger Jr. | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-08-29 |
| 1790292605 | Sana Khan | Pediatrics | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.