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

Dr. MA Theresa Egasani-Elises, MD

Individual provider Family Medicine Physician · NPI 1992954465

Dr. MA Theresa Egasani-Elises, MD is a Family Practice in Walnut Creek, California. Qualified in 2004, 22 years ago. Practices with John Muir Physician Network, a 486-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
22
Licensed in
CA, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1450 Treat Blvd Ste 160
Walnut Creek, CA 94597-2168
Phone: (925) 296-9000
Fax: (925) 296-9071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A126362 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036124636 (IL)

Record details

NPI number1992954465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 9, 2008
Last updated in NPPESMarch 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice John Muir Physician Network — 486 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Walnut Creek