Healthcare Provider Details

I. General information

NPI: 1588294706
Provider Name (Legal Business Name): ELIAS JOELLE NASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date: 05/04/2022
Reactivation Date: 06/06/2022

III. Provider practice location address

535 MISSION ST
SAN FRANCISCO CA
94105-2997
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-658-6791
  • Fax: 415-520-0904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA191479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: