Individual provider Active NPI

Emiliya Shapiro Ganezer, NP

  • Family Nurse Practitioner
  • Calabasas, CA
National Provider Identifier
1396995833
Registry record updated Aug 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
505125, 17591 Issued in CA
Practice address
24013 Ventura Blvd
101
Calabasas, CA 91302-1094
Phone
(818) 222-2443
NPI assigned
Sep 20, 2008
Last updated
Aug 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 505125, 17591 CA Primary

Addresses

Primary practice location

24013 Ventura Blvd
101
Calabasas, CA 91302-1094

Mailing address

9400 Brighton Way
Ste 410
Beverly Hills, CA 90210-4711
Phone (323) 588-2004

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000352 CA Practitioner - Nurse Practitioner 8123279775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med InstituteGroup PAC ID 9537238027, 8 clinicians

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2003
Phone (310) 256-2426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
505125, 17591CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Foxman, M.D., Inc. Current Accepting new patients
Burstein MD, a Professional Corporation Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

9400 Brighton Way
Ste 410
Beverly Hills, CA 90210
Phone (310) 256-2426

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502496000000",
    "number": "1396995833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104711",
            "telephone_number": "323-588-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24013 VENTURA BLVD",
            "address_2": "101",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021094",
            "telephone_number": "818-222-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEZER",
        "first_name": "EMILIYA",
        "middle_name": "SHAPIRO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2017-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "505125, 17591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.