Individual provider Active NPI

Michael Eshaghian, M.D.

  • Obstetrics & Gynecology Physician
  • Encino, CA
National Provider Identifier
1639297096
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A96648 Issued in CA
Practice address
16661 Ventura Blvd Ste 504
Encino, CA 91436-1968
Phone
(818) 784-4100
Fax
(818) 205-9666
NPI assigned
Mar 26, 2007
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A96648 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 504
Encino, CA 91436-1968

Mailing address

5966 Tampa Ave
Tarzana, CA 91356-1133
Phone (917) 584-0363

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000665 CA Practitioner - Obstetrics/Gynecology 2163586009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael Eshaghian MD IncGroup PAC ID 6608930540, 3 clinicians

Practice addresses (Care Compare)

7100 Van Nuys Blvd
Suite 113
Van Nuys, CA 91405-3063
Phone (818) 909-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96648CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Eshaghian MD Inc Obstetrics & Gynecology CurrentSince Jul 14, 2008 Accepting new patients
Center for Family Health and Education Inc Obstetrics & Gynecology Past Accepting new patients

Locations

450 N Bedford Dr
Ste 209
Beverly Hills, CA 90210
Phone (310) 273-7999

16661 Ventura Blvd
Ste 504
Encino, CA 91436
Phone (818) 522-1818

16661 Ventura Blvd
Ste 824
Encino, CA 91436
Phone (310) 855-7171

18556 Ventura Blvd
Tarzana, CA 91356
Phone (818) 287-0010

7100 Van Nuys Blvd
Ste 113
Van Nuys, CA 91405
Phone (818) 784-4100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1639297096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 TAMPA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561133",
            "telephone_number": "917-584-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 504",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361968",
            "telephone_number": "818-784-4100",
            "fax_number": "818-205-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAGHIAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A96648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.