Individual provider Active NPI

David Heskiaoff, M.D.

  • Orthopaedic Surgery Physician
  • Sherman Oaks, CA
National Provider Identifier
1679627251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G45756 Issued in CA
Practice address
5170 Sepulveda Blvd
Suite 100
Sherman Oaks, CA 91403-1171
Phone
(818) 784-3878
Fax
(818) 784-1042
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G45756 CA Primary

Addresses

Primary practice location

5170 Sepulveda Blvd
Suite 100
Sherman Oaks, CA 91403-1171

Mailing address

5170 Sepulveda Blvd
Suite 100
Sherman Oaks, CA 91403-1171
Phone (818) 784-3878

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
I20040610001312 CA Practitioner - Orthopedic Surgery 5092797985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5170 Sepulveda Blvd
Suite 100
Sherman Oaks, CA 91403-6501
Phone (818) 784-3878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamshid Shafai, M.D., Inc. Past Accepting new patients
Regal Medical Group, Inc. Orthopaedic Surgery Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679627251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-784-3878",
            "fax_number": "818-784-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-784-3878",
            "fax_number": "818-784-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESKIAOFF",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G45756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.