Individual provider Active NPI

Asher Eric Esagoff, DOCTOR OF PHARMACY

  • Pharmacist
  • Beverly Hills, CA
National Provider Identifier
1124012505
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY31130 Issued in CA
Practice address
240 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3339
Phone
(310) 652-0550
Fax
(310) 652-7882
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY31130 CA Primary

Addresses

Primary practice location

240 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3339

Mailing address

240 S la Cienega Blvd Ste 100
Beverly Hills, CA 90211-3339
Phone (310) 652-0550

Other identifiers 1

IdentifierTypeStateIssuer
PHA31130MedicaidCA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHY31130CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Asher E Esagoff Pharmacist Current Accepting new patients

Locations

240 S La Cienega Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 652-0550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1124012505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113339",
            "telephone_number": "310-652-0550",
            "fax_number": "310-652-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113339",
            "telephone_number": "310-652-0550",
            "fax_number": "310-652-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESAGOFF",
        "first_name": "ASHER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY31130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA31130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.