Active NPI
Jacob F Esagoff, D.D.S.
- Dentist
- Beverly Hills, CA
National Provider Identifier
1265858542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37656
- Practice address
- 9301 Wilshire Blvd.
#409
Beverly Hills, CA 90210-6668 - Phone
- (310) 858-1234
- Fax
- (310) 858-7776
- NPI assigned
- Mar 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 37656 | CA | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd.
#409
Beverly Hills, CA 90210-6668
Mailing address
P.O. Box 6668
Beverly Hills, CA 90212-6664
Phone (310) 858-1234
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37656 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob F Esagoff DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Beverly Hills, CA
- NPI 1811055486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1265858542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6668",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902126664",
"telephone_number": "310-858-1234",
"fax_number": "310-858-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD.",
"address_2": "#409",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106668",
"telephone_number": "310-858-1234",
"fax_number": "310-858-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESAGOFF",
"first_name": "JACOB",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37656",
"primary": true
}
],
"identifiers": [],
"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 Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.