Individual provider Active NPI

Elizabeth Ann Irwin, M.D.

  • Gynecology Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1346439288
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G42532 Issued in CA
Practice address
12 Dapplegray LN
Rolling Hills Estates, CA 90274-4211
Phone
(310) 530-7416
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G42532 CA Primary

Addresses

Primary practice location

12 Dapplegray LN
Rolling Hills Estates, CA 90274-4211

Mailing address

12 Dapplegray LN
Rolling Hills Estates, CA 90274-4211
Phone (310) 530-7416

Other names 1

  • Mrs. Elizabeth Ann Denis Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121211000298 CA Order and Referring Only - General PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 0547459331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G42532CAMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1346439288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DAPPLEGRAY LN",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744211",
            "telephone_number": "310-530-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DAPPLEGRAY LN",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744211",
            "telephone_number": "310-530-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G42532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DENIS",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.