Individual provider Active NPI

Elsa Aghaian, M.D.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1023287489
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A97896 Issued in CA
Practice address
607 N. Central Ave.
Suite 204
Glendale, CA 91203-1808
Phone
(818) 956-1010
Fax
(818) 543-6083
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A97896 CA Primary

Addresses

Primary practice location

607 N. Central Ave.
Suite 204
Glendale, CA 91203-1808

Mailing address

607 N. Central Ave.
Suite 204
Glendale, CA 91203-1804
Phone (818) 956-1010

Other identifiers 1

IdentifierTypeStateIssuer
1023287489OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1023287489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N. CENTRAL AVE.",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031804",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N. CENTRAL AVE.",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031808",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAIAN",
        "first_name": "ELSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A97896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023287489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.