Organization Active NPI

Calvin Ezrin MD, a Medical Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Tarzana, CA
National Provider Identifier
1144400524
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G33066 Issued in CA
Legal business name
CALVIN EZRIN MD, A MEDICAL CORPORATION
Practice address
18372 Clark Street
Suite 226
Tarzana, CA 91356-3508
Phone
(818) 996-3936
Fax
(818) 996-3655
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Calvin Ezrin, MD
Title
President
Phone
(818) 996-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X G33066 CA Primary

Addresses

Primary practice location

18372 Clark Street
Suite 226
Tarzana, CA 91356-3508

Mailing address

18372 Clark Street
Suite 226
Tarzana, CA 91356-3508
Phone (818) 996-3936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1144400524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18372 CLARK STREET",
            "address_2": "SUITE 226",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563508",
            "telephone_number": "818-996-3936",
            "fax_number": "818-996-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK STREET",
            "address_2": "SUITE 226",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563508",
            "telephone_number": "818-996-3936",
            "fax_number": "818-996-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN EZRIN MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "EZRIN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-996-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G33066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.