Healthcare Provider Details

I. General information

NPI: 1033020573
Provider Name (Legal Business Name): ELSA NASSAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 MARKET ST STE 99187
SAN FRANCISCO CA
94104-5401
US

IV. Provider business mailing address

548 MARKET ST STE 99187
SAN FRANCISCO CA
94104-5401
US

V. Phone/Fax

Practice location:
  • Phone: 415-275-1838
  • Fax: 415-529-5218
Mailing address:
  • Phone: 415-275-1838
  • Fax: 415-529-5218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: