Organization Active NPI

Esrail Medical Corpration

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1174881304
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A72843 Issued in CA
Legal business name
ESRAIL MEDICAL CORPRATION
Practice address
9025 Wilshire Blvd
Suite 209
Beverly Hills, CA 90211-1831
Phone
(310) 276-3450
Fax
(310) 276-3548
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Rafi Israel, M.D.NPI 1841215803
Title
Owner
Phone
(310) 276-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A72843 CA Primary

Addresses

Primary practice location

9025 Wilshire Blvd
Suite 209
Beverly Hills, CA 90211-1831

Mailing address

9025 Wilshire Blvd
Suite 209
Beverly Hills, CA 90211-1831
Phone (310) 276-3450

Other identifiers 2

IdentifierTypeStateIssuer
1841215803OtherNPI
A72843OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000457 CA Part B Supplier - Clinic/Group Practice 2769644814 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9025 Wilshire Blvd
Ste 209
Beverly Hills, CA 90211
Phone (310) 276-3450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1174881304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-276-3450",
            "fax_number": "310-276-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-276-3450",
            "fax_number": "310-276-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESRAIL MEDICAL CORPRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-276-3450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A72843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841215803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A72843",
            "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 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.