Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantal Elizaga

Individual provider Physician Assistant · NPI 1720693682

Chantal Elizaga is a Physician Assistant in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

50 Acacia Ave
San Rafael, CA 94901-2230
Phone: (415) 457-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60625 (CA)

Record details

NPI number1720693682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address643 S Orange Dr, Los Angeles, CA 90036-3507

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