Elliot M. Hirsch, M.D., Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A129834 Issued in CA

Legal business name

ELLIOT M. HIRSCH, M.D., INC.

Practice address

4419 Van Nuys Blvd Ste 214
Sherman Oaks, CA 91403-5718

Phone

(818) 825-8131

Fax

(818) 616-1044

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Elliot Matthew Hirsch, MDNPI 1699931501

Title

President

Phone

(818) 825-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Elliot Matthew Hirsch, MD

  • Plastic and Reconstructive Surgery Physician
  • Sherman Oaks, CA
  • NPI 1699931501
  Medicare reassignment Authorized official
• Patricia Alexis Ceniza Santos, NP

  • Family Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1154082469
  NPD
• Ohad M Ben-Yehuda, M.D

  • Specialist
  • Encino, CA
  • NPI 1093754483
  NPD (past)
• Edwin Lawrence Jacobs, M.D.

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1366462939
  NPD (past)
• Gregg Arden Olsen, M.D.

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1427078070
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1356755730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035718",
            "telephone_number": "818-825-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035718",
            "telephone_number": "818-825-8131",
            "fax_number": "818-616-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT M. HIRSCH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-825-8131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A129834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.