Organization Active NPI

Shaw S Eslamian MD PC

  • Internal Medicine Physician
  • La Jolla, CA
National Provider Identifier
1356796130
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A101252 Issued in CA
Legal business name
SHAW S ESLAMIAN MD PC
Practice address
1140 Wall St
Suite 1013
La Jolla, CA 92038-7001
Phone
(858) 692-6535
Fax
(810) 454-5951
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Shaw S. Eslamian, MD
Title
President
Phone
(858) 692-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A101252 CA Primary

Addresses

Primary practice location

1140 Wall St
Suite 1013
La Jolla, CA 92038-7001

Mailing address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone (858) 692-6535

National Provider Directory

National Provider Directory

Locations

1140 Wall St
Unit 1013
La Jolla, CA 92038
Phone (858) 692-6535

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1356796130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "858-692-6535",
            "fax_number": "810-454-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WALL ST",
            "address_2": "SUITE 1013",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920387001",
            "telephone_number": "858-692-6535",
            "fax_number": "810-454-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW S ESLAMIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ESLAMIAN",
        "authorized_official_first_name": "SHAW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-692-6535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.