Active NPI
Daniel Victor Ehrensaft, MD
- Infectious Disease Physician
- Culver City, CA
National Provider Identifier
1184729352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G22676
- Practice address
- 3831 Hughes Ave
Suite 603
Culver City, CA 90232 - Phone
- (310) 202-9145
- Fax
- (310) 202-0188
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G22676 | CA | Primary |
Addresses
Primary practice location
3831 Hughes Ave
Suite 603
Culver City, CA 90232
Mailing address
PO Box 26
Pacific Palisades, CA 90272-3699
Phone (310) 202-9145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G226760 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G22676 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1184729352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723699",
"telephone_number": "310-202-9145",
"fax_number": "310-202-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "SUITE 603",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90232",
"telephone_number": "310-202-9145",
"fax_number": "310-202-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRENSAFT",
"first_name": "DANIEL",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G22676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G226760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.