Organization Active NPI

Dr Shahrooz Eshaghian MD Inc

  • Medical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1366845166
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A100734 Issued in CA
Legal business name
DR SHAHROOZ ESHAGHIAN MD INC
Practice address
470 N Robinwood Dr
Los Angeles, CA 90049-2328
Phone
(310) 229-3555
Fax
(310) 229-3554
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Shahrooz Eshaghian, MDNPI 1417132499
Title
Owner/ Authorized Official
Phone
31022935555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X A100734 CA Primary

Addresses

Primary practice location

470 N Robinwood Dr
Los Angeles, CA 90049-2328

Mailing address

PO Box 3758
Beverly Hills, CA 90212-0758
Phone (310) 229-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141210000950 CA Part B Supplier - Clinic/Group Practice 8123340700 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1366845166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3758",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902120758",
            "telephone_number": "310-229-3555",
            "fax_number": "310-229-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N ROBINWOOD DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492328",
            "telephone_number": "310-229-3555",
            "fax_number": "310-229-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHAHROOZ ESHAGHIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "ESHAGHIAN",
        "authorized_official_first_name": "SHAHROOZ",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "31022935555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A100734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.