Ed Jesalva M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G58063 Issued in CA

Legal business name

ED JESALVA M.D.

Practice address

2659 Townsgate Rd Ste 209
Westlake Village, CA 91361-2771

Phone

(805) 374-1120

Fax

(805) 374-1124

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Ed S. Jesalva, M.D.NPI 1215075817

Title

Owner

Phone

(805) 374-1120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ed Santos Jesalva, MD

  • Psychiatry Physician
  • Westlake Village, CA
  • NPI 1215075817
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1275791980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612771",
            "telephone_number": "805-374-1120",
            "fax_number": "805-374-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612771",
            "telephone_number": "805-374-1120",
            "fax_number": "805-374-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED JESALVA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JESALVA",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-374-1120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G58063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dyck, MS, LMFT
• Lusine Dzhimbashyan, LMFT
• Eben and Hakimi Dental Inc
• Armon Eben, DDS
• Ninus Ebrahimi, D.M.D.
• Ed S Jesalva MD Inc
• Edelman Media
• Marina Edelman, MFT
• Michael Marvin Edelstein, M.D.
• Edward Portnoy MD, Inc

• Psychiatry Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.