DR. ELISA E. HORTA (M.D., M.P.H.) – Family Medicine Physician, NPI 1013900653

DR. ELISA E. HORTA (M.D., M.P.H.) is a healthcare provider. based in Davis, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D., M.P.H.. They hold a License No. G072518 (CA). The NPI Number for DR. ELISA E. HORTA (M.D., M.P.H.) is 1013900653

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISA E. HORTA (M.D., M.P.H.)
NPI
1013900653
Phone
(530) 758-1563
Address
2050 LYNDELL TER
Enumeration Date
30 August 2005
Last Update Date
4 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
8888033370
Graduation Year
1990 (36 years ago)
PAC ID
3274693544
Group Practice PAC ID
3870894579
Professional Enrollment ID
I20081117000170
Address ID
CA941052661SA333XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. ELISA E. HORTA (M.D., M.P.H.)

  • 2050, Lyndell Terrace, Davis, Yolo County, California, 95616, United States

    SUITE 150

    DAVIS, CA 956166204

    Phone: (530) 758-1563

    Fax: (530) 758-2589

    Type: Mailing

  • 417 MACE BLVD STE J-285

    DAVIS, CA 956186053

    Phone: (530) 400-3533

    Type: Mailing

  • 333 1ST ST

    SAN FRANCISCO, CA 941052687

    Phone: (888) 803-3370

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081117000170IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870894579View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerNV
Nurse PractitionerTX
Physician AssistantCA
Physician AssistantAZ
Nurse PractitionerCA
Nurse PractitionerNY
Family PracticeCT
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Where can patients find DR. ELISA E. HORTA (M.D., M.P.H.)'s NPI?
You can confirm DR. ELISA E. HORTA (M.D., M.P.H.) with NPI 1013900653; it appears in the national provider directory.
Is DR. ELISA E. HORTA (M.D., M.P.H.) currently active in the NPI registry?
CMS-published data lists DR. ELISA E. HORTA (M.D., M.P.H.) as an active registrant.
What kind of provider is DR. ELISA E. HORTA (M.D., M.P.H.)?
The page reflects Family Medicine Physician for DR. ELISA E. HORTA (M.D., M.P.H.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ELISA E. HORTA (M.D., M.P.H.)?
The page summarizes Davis, California for DR. ELISA E. HORTA (M.D., M.P.H.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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