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DR. BRUCE A ELIASHOF MD NPI 1568555324


NPI Information

NPI: 1568555324
Provider Name: DR. BRUCE A ELIASHOF, MD
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

PECOS Registration: Yes

Address:
2001 THE ALAMEDA
ALLIANCE FOR COMMUNITY CARE
SAN JOSE, CA
ZIP 95126
Phone: (408) 261-7135
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DR. Bruce A Eliashof, MD is a forensic psychiatry psychiatry neurology in San Jose, CA with 30 years of experience. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. DR. Bruce A Eliashof, MD NPI is 1568555324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

2001 THE ALAMEDA
ALLIANCE FOR COMMUNITY CARE
SAN JOSE, CA
ZIP 95126-136
Phone: (408) 261-7135
Fax: (408) 554-9960

The NPI 1568555324 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084F0202XPsychiatry & NeurologyForensic PsychiatryA54722CALIFORNIAYes
22084P0800XPsychiatry & NeurologyPsychiatryA54722CALIFORNIAX
32084P0802XPsychiatry & NeurologyAddiction PsychiatryA54722CALIFORNIAX
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA54722CALIFORNIAX
52084P0805XPsychiatry & NeurologyGeriatric PsychiatryA54722CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W31564MEDICARE UPIN
200A547220OTHERPPIN
3ZZZ01125ZMEDICARE ID-TYPE UNSPECIFIEDGRP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.