Individual provider Active NPI

Elliott Arthur Schaffzin, MD

  • Orthopaedic Surgery Physician
  • Westlake Village, CA
National Provider Identifier
1194821140
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G33746 Issued in CA
Practice address
1250 La Venta Dr
Ste 100
Westlake Village, CA 91361-3702
Phone
(805) 381-1953
Fax
(805) 381-1079
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G33746 CA Primary

Addresses

Primary practice location

1250 La Venta Dr
Ste 100
Westlake Village, CA 91361-3702

Mailing address

1250 La Venta Dr
Ste 100
Westlake Village, CA 91361-3702
Phone (805) 381-1953

Other identifiers 1

IdentifierTypeStateIssuer
G33746OtherCAMEDICARE PTAN

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

LicenseStateTypeSpecialty
G33746CAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1194821140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-381-1953",
            "fax_number": "805-381-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-381-1953",
            "fax_number": "805-381-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFZIN",
        "first_name": "ELLIOTT",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G33746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G33746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.