Active NPI
Orval Myron Eshelman, M.D.
- Clinical & Laboratory Dermatological Immunology Physician
- Los Gatos, CA
National Provider Identifier
1366445116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Dermatological Immunology Physician
- License
- A20441
- Practice address
- 14981 National Ave
Ste 3
Los Gatos, CA 95032-2600 - Phone
- (408) 358-1256
- Fax
- (408) 358-1826
- NPI assigned
- May 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | A20441 | CA | Primary |
Addresses
Primary practice location
14981 National Ave
Ste 3
Los Gatos, CA 95032-2600
Mailing address
14981 National Ave
Ste 3
Los Gatos, CA 95032-2600
Phone (408) 358-1256
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A20441 | Other | CA | STATE LICENSE |
| 770494064 | Other | CA | TRICARE |
| 010061395 | Other | CA | RAILROAD MEDICARE |
| 004643 | Other | CA | HEALTH NET |
| 00A204410 | Other | CA | MEDICARE ID |
| 00A204410 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1366445116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14981 NATIONAL AVE",
"address_2": "STE 3",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322600",
"telephone_number": "408-358-1256",
"fax_number": "408-358-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14981 NATIONAL AVE",
"address_2": "STE 3",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322600",
"telephone_number": "408-358-1256",
"fax_number": "408-358-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHELMAN",
"first_name": "ORVAL",
"middle_name": "MYRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "CA",
"license": "A20441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A20441",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "770494064",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010061395",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "004643",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00A204410",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A204410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.