Active NPI
Esrail Medical Corpration
- Ophthalmology Physician
- Beverly Hills, CA
National Provider Identifier
1174881304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A72843
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafi Israel, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841215803 | Other | NPI | |
| A72843 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1841215803
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.