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DR. NATHAN EWIGMAN
NPI 1104298603
Psychologist - Clinical in San Bruno, CA

Active since October 22, 2015PECOS EnrolledAccepts Medicare Assignment
1001 SNEATH LN, SAN BRUNO, CA 94066(650) 615-6050 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Ewigman NPPES

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

DR. NATHAN EWIGMAN (NPI 1104298603) is an individual clinical provider in San Bruno, California, licensed in California (27570) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104298603
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NATHAN EWIGMAN
Location Address1001 SNEATH LNSan Bruno, CA 94066-2308
Mailing Address812 Jefferson CtSan Mateo, CA 94401-5228
Phone(650) 615-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 22, 2015
✔ NPI 1104298603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 27570
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1001 SNEATH LN, San Bruno, CA 94066
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nathan Ewigman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880922509
PECOS Enrollment IDI20190820000700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DAPHNEY FULGENCIO
Behavior Technician
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 243-9849
LAURA BRECKENRIDGE NP
Internal Medicine (Sports Medicine)
1001 SNEATH LN, SUITE 104
SAN BRUNO, CA 94066
San Mateo County (650) 873-4545
MARIFE ROSANNA S. TOLENTINO MD
Pediatrics
1001 SNEATH LN, STE 104
SAN BRUNO, CA 94066
San Mateo County (650) 873-4545
DR. SUSAN E SALES DDS
Dentist (General Practice)
1001 SNEATH LN, SUITE 108
SAN BRUNO, CA 94066
San Mateo County (650) 871-2741
SAN FRANCISCO VAMC
Clinic/Center (VA)
1001 SNEATH LN, SUITE 300
SAN BRUNO, CA 94066
San Mateo County (702) 341-3020
MRS. DINA R JENKINS RDA
Counselor (Addiction (Substance Use Disorder))
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 244-1444
DR. EMJAY MENG-JIAO TAN M.D.
Psychiatry & Neurology (Addiction Psychiatry)
1001 SNEATH LN, SUITE 204
SAN BRUNO, CA 94066
San Mateo County (650) 616-6200
DR. ROBERT ALLAN BONADIES EDD
Psychologist
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 616-6200

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 Nathan Ewigman's NPI number?

The NPI number for Nathan Ewigman is 1104298603. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Nathan Ewigman located?

Nathan Ewigman practices at 1001 Sneath Ln, San Bruno, CA 94066. The listed phone number is (650) 615-6050.

What is Nathan Ewigman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nathan Ewigman enrolled in Medicare?

Yes. Nathan Ewigman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nathan Ewigman was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.