NPIMap

Individual provider Active NPI

Esfandiar Esfandiarifard, MD

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1063514479
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74046 Issued in CA
Practice address
16661 Ventura Blvd Ste 515
Encino, CA 91436-1972
Phone
(818) 990-4030
Fax
(818) 990-4031
NPI assigned
Sep 5, 2006
Last updated
Sep 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74046 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 515
Encino, CA 91436-1972

Mailing address

16661 Ventura Blvd Ste 515
Encino, CA 91436-1972
Phone (818) 990-4030

Other identifiers 3

IdentifierTypeStateIssuer
00A740460MedicaidCA
A74046OtherBC/BS
00A740460OtherBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000368 CA Practitioner - Internal Medicine 6608061528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
E Esfandiarifard M D IncGroup PAC ID 4688602261, 2 clinicians

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 515
Encino, CA 91436-1972
Phone (818) 990-4030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as individual
Quality
69.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74046CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: esfandiar.esfandiarifard.1@10128.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1063514479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361972",
            "telephone_number": "818-990-4030",
            "fax_number": "818-990-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 515",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361972",
            "telephone_number": "818-990-4030",
            "fax_number": "818-990-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESFANDIARIFARD",
        "first_name": "ESFANDIAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A740460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "A74046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00A740460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.