ELENA NIKOLOVA HRISTOVA (MD) – Anatomic Pathology Physician, NPI 1710066857

ELENA NIKOLOVA HRISTOVA (MD) is a healthcare provider. based in Oakland, California. specializing in Anatomic Pathology Physician. They hold the professional credentials MD. They hold a License No. A79963 (CA). The NPI Number for ELENA NIKOLOVA HRISTOVA (MD) is 1710066857

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
ELENA NIKOLOVA HRISTOVA (MD)
NPI
1710066857
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
2 November 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4088511000
Graduation Year
1988 (38 years ago)
PAC ID
4981884442
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20110216000000

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ELENA NIKOLOVA HRISTOVA (MD)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123466

    Phone: (510) 625-6262

    Type: Mailing

  • B06 Conference Room, 710, Lawrence Expressway, Santa Clara, Santa Clara County, California, 95014-0721, United States

    SANTA CLARA, CA 950515173

    Phone: (408) 851-1000

    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: 2011-02-16

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
I20110216000000IPathologyCATBD

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 94612)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How is ELENA NIKOLOVA HRISTOVA (MD) identified in CMS data?
CMS-hosted NPPES data lists ELENA NIKOLOVA HRISTOVA (MD) with NPI 1710066857.
Can I rely on ELENA NIKOLOVA HRISTOVA (MD) being an active provider?
As of the registry snapshot, ELENA NIKOLOVA HRISTOVA (MD) is marked active.
What taxonomy line describes ELENA NIKOLOVA HRISTOVA (MD)?
For research purposes, treat ELENA NIKOLOVA HRISTOVA (MD) as Anatomic Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does ELENA NIKOLOVA HRISTOVA (MD) list a practice location?
Patients near Oakland, California may find ELENA NIKOLOVA HRISTOVA (MD) in results; validate coverage separately.
Is the information about ELENA NIKOLOVA HRISTOVA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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