Elsagav S Shaham, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G50824 Issued in CA

Practice address

866 N Vermont Ave
#1
Los Angeles, CA 90029-3528

Phone

(323) 660-2100

Fax

(323) 662-0078

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

State University of New York at Buffalo School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asuta Medical Group IncGroup PAC ID 1951814524, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Five Star Quality Healthcare, Inc Home health agency, Glendale, CA, CCN 059346
• Infinity Healthcare Solutions, Inc Home health agency, Van Nuys, CA, CCN 053196
• Jax Home Health, Inc Home health agency, Glendale, CA, CCN 757189
• Ama Healthcare, Inc Home health agency, Van Nuys, CA, CCN 559416

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asuta Medical Group Inc

  • Health Service Clinic/Center
  • Van Nuys, CA
  • NPI 1104617315
  Medicare reassignment Care Compare group NPD Authorized official
• K&H Soliman MD, Inc

  • Adult Medicine Physician
  • San Marino, CA
  • NPI 1336603232
  NPD (past)
• Silka Enterprises Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1952526915
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ama Healthcare, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1639635865
  Care Compare affiliation
• Five Star Quality Healthcare Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1730325382
  Care Compare affiliation
• Infinity Healthcare Solutions Inc

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1073745170
  Care Compare affiliation
• Jax Home Health, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1972170082
  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1386636611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293528",
            "telephone_number": "323-660-2100",
            "fax_number": "323-662-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293528",
            "telephone_number": "323-660-2100",
            "fax_number": "323-662-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAM",
        "first_name": "ELSAGAV",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G50824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G508240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sweta Shah
• Tariq Shah, M.D.
• Vaibhavi Shah, MD
• Yatin Shah, D.D.S
• Bracha Shaham, MD
• Soroush Shahamatdar
• Candice Shahandeh-Rad
• Negeen Shahandeh, MD
• Sean Shahriar Shahangian, MD
• Lavina Bina Shahani, NP

• Obstetrics & Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.