NPI Registry.org

Kevin Ryan Eitel

NPI Registration Record

Provider / OrganizationNPIDate Certified
KEVIN RYAN EITEL18115832632024-01-07

Kevin Ryan Eitel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811583263. Registration indicates Kevin Ryan Eitel is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Kevin Ryan Eitel PA-C
Practice Office Address1005 VAN NESS AVE
SAN FRANCISCO, CA US
Practice Office Telephone4152339901
Practice Office Fax8334640177
Mailing Address1669 LAUREL ST
SAN CARLOS, CA 940705216 US
Business Telephone6508886733
HPT Codes
CodePractice
License No
State
207P00000X
Emergency Medicine

Allopathic & Osteopathic Physicians
Emergency Medicine
All Other Specialties & Provider Types

Emergency Medicine
Allopathic & Osteopathic Physicians
PA58942
CA
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
58942
CA
OPI Codes
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