NPIMap

Organization Active NPI

Shervin Eshaghian MD Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1285932749
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A97729 Issued in CA
Legal business name
SHERVIN ESHAGHIAN MD INC
Practice address
2080 Century Park E
Suite 1405
Los Angeles, CA 90067-2001
Phone
(310) 858-6500
Fax
(310) 606-2648
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Shervin Eshaghian, MDNPI 1760695696
Title
President
Phone
(310) 858-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A97729 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1405
Los Angeles, CA 90067-2001

Mailing address

PO Box 10658
Beverly Hills, CA 90213-3658
Phone (310) 858-6500

Other identifiers 1

IdentifierTypeStateIssuer
C3060930OtherCASECRETARY OF STATE CORPORATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000218 CA Part B Supplier - Clinic/Group Practice 5597941245 Receives reassigned benefits from 7 practitioners
Practice locations: Beverly Hills, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

465 N Roxbury Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 854-7722

2080 Century Park E
Ste 1405
Los Angeles, CA 90067
Phone (310) 277-7707

8635 W 3rd St
Ste 695W
Los Angeles, CA 90048
Phone (310) 652-2744

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1285932749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10658",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133658",
            "telephone_number": "310-858-6500",
            "fax_number": "310-606-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-858-6500",
            "fax_number": "310-606-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERVIN ESHAGHIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "ESHAGHIAN",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-858-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A97729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE CORPORATION NUMBER",
            "identifier": "C3060930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.