Ludmilla Elgourt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A33452 Issued in CA

Practice address

911 Masselin Ave
Los Angeles, CA 90036-4719

Phone

(818) 400-9016

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Alpha Hospice Care Inc

  • Community Based Hospice Care Agency
  • Simi Valley, CA
  • NPI 1073149563

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1194826388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MASSELIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364719",
            "telephone_number": "818-400-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MASSELIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364719",
            "telephone_number": "818-400-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGOURT",
        "first_name": "LUDMILLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A33452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Eve Elgart, M.A. CCC SLP
• Haitham H Elgendi, DDS
• Roxanna Camelia Elghanayan, CCC-SLP
• Kristine A Elgin, LMFT
• Monica Elgin
• Elgrichi Harouni Dental Corp (Dream Team Dental)
• Andrea Elgrichi
• Daniela Elguea
• Katherine Alexandra Elgueta Becerra, SLP
• Maria Isabel Elgueta, LCSW

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.