ALYSSA PELAK MD
NPI 1164224556
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Alyssa Pelak's NPI number?

The NPI number for Alyssa Pelak is 1164224556. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Alyssa Pelak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Pelak was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 26, 2025PECOS Enrolled

505 PARNASSUS AVE # 114, SAN FRANCISCO, CA 94143(415) 353-2273 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Mar 26, 2025 (2 updates tracked since 2025).

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About Alyssa Pelak Md NPPES

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

ALYSSA PELAK MD (NPI 1164224556) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164224556

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA PELAKCredential: MD

Location Address505 PARNASSUS AVE # 114San Francisco, CA 94143-2204

Mailing Address505 Parnassus Ave # 114San Francisco, CA 94143-2204 · (415) 353-2273 · Fax (415) 353-2898

Phone(415) 353-2273

Sole ProprietorNo

Enumeration DateMarch 26, 2025

Last NPPES UpdateApril 2, 20252 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1164224556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

505 PARNASSUS AVE # 114, San Francisco, CA 94143

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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 (PECOS)

Alyssa Pelak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. YUQI BIAN MD

Student in an Organized Health Care Education/Training Program