Active NPI
Elizabeth Ann Irwin, M.D.
- Gynecology Physician
- Rolling Hills Estates, CA
National Provider Identifier
1346439288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G42532
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121211000298 | CA | Order and Referring Only - General Practice | 0547459331 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42532 | CA | MD | Gynecology 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
- Ling Li K Hong
- Paula R. Horn, LMFT, MFC #7074, CA
- Howard Fein PC (Rolling Hills Dermatology Group, Inc)
- Ching-Yueh Hsu, N.D.
- Independent Physical Therapy Inc
- Kamron Izadi, MD
- Jack H Schnel Edd Abpp PC
- James H Flores Jr MD Inc (Peninsula Medica Group)
- Jennifer Chokemesil, LMFT, Marriage and Family Therapy Inc.
- Preeti Jhorar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.