Active NPI
Alex Eshaghian, MD, PHD
- Dermatology Physician
- Encino, CA
National Provider Identifier
1154582641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A110726
- Practice address
- 16311 Ventura Blvd Ste 845
Encino, CA 91436-4330 - Phone
- (818) 835-1833
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A110726 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd Ste 845
Encino, CA 91436-4330
Mailing address
16311 Ventura Blvd
845
Encino, CA 91436-8025
Phone (818) 835-1833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mdwareonline.com/aeskin/sign-in | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110726 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1154582641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "845",
"city": "ENCINO",
"state": "CA",
"postal_code": "914368025",
"telephone_number": "818-835-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD STE 845",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364330",
"telephone_number": "818-835-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHAGHIAN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A110726",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mdwareonline.com/aeskin/sign-in",
"affiliation": "N",
"endpointDescription": "patient portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "16311 Ventura Blvd Ste 845",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "914364330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.