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DR. JEFFREY ETEMAD D.O.
NPI 1093803983
Neuromusculoskeletal Medicine & OMM in Mill Valley, CA

Active since October 10, 2006Opted out of Medicare · through Jan 1, 2028
655 REDWOOD HWY, SUITE #160, MILL VALLEY, CA 94941(415) 302-8254(415) 457-7260 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Etemad D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY ETEMAD D.O. (NPI 1093803983) is an individual neuromusculoskeletal medicine & omm provider in Mill Valley, California, licensed in California (20A6889) and active in the NPI registry since October 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093803983
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. JEFFREY ETEMADCredential: D.O.
Location Address655 REDWOOD HWY, SUITE #160Mill Valley, CA 94941-3034
Mailing Address655 Redwood Hwy, Suite #160Mill Valley, CA 94941-3034 · (415) 302-8254 · Fax (415) 457-7260
Phone(415) 302-8254
Fax(415) 457-7260
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093803983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · 20A6889
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
655 REDWOOD HWY, Mill Valley, CA 94941
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Other Identifiers 2

Medicare UPING92026CA
Medicare ID-Type Unspecified020A68890CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeffrey Etemad D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUANTUM PHYSICAL THERAPY
Physical Therapist
655 REDWOOD HWY, SUITE 309
MILL VALLEY, CA 94941
Marin County (415) 381-8888
ROBERT E BELKNAP MD INC
Clinic/Center (Primary Care)
655 REDWOOD HWY
MILL VALLEY, CA 94941
Marin County (415) 384-0506
DR. KRISTINE S DUFFIN CP
Psychologist (Clinical)
655 REDWOOD HWY, SUITE 119
MILL VALLEY, CA 94941
Marin County (415) 388-8968
ASHLEY NICOLE BURNETT PA-C
Physician Assistant (Medical)
655 REDWOOD HWY, STE 246
MILL VALLEY, CA 94941
Marin County (805) 590-8099
CAROLYN H BRAY PHD
Psychologist (Clinical)
655 REDWOOD HWY, SUITE 330
MILL VALLEY, CA 94941
Marin County (415) 789-7658
ROBERT E BELKNAP MD
Family Medicine (Adult Medicine)
655 REDWOOD HWY, SUITE 375
MILL VALLEY, CA 94941
Marin County (415) 384-0506
DR. MATTHEW PALEY DO
Psychiatry & Neurology (Psychiatry)
655 REDWOOD HWY, STE 332
MILL VALLEY, CA 94941
Marin County (510) 214-6655
DR. ALAN BURR STEINBACH M.D.
Family Medicine
655 REDWOOD HWY, SUITE 375
MILL VALLEY, CA 94941
Marin County (415) 388-0358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Etemad's NPI number?

The NPI number for Jeffrey Etemad is 1093803983. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jeffrey Etemad located?

Jeffrey Etemad practices at 655 Redwood Hwy Suite #160, Mill Valley, CA 94941. The listed phone number is (415) 302-8254.

What is Jeffrey Etemad's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jeffrey Etemad enrolled in Medicare?

No. Jeffrey Etemad has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Etemad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.