Elliot Matthew Hirsch, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A129834 Issued in CA

Practice address

4419 Van Nuys Blvd Ste 214
Sherman Oaks, CA 91403-5718

Phone

(818) 825-8131

NPI assigned

Jul 30, 2008

Last updated

Jul 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Plastic and Reconstructive Surgery

Education

University of Southern California Keck School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Elliot M. Hirsch, M.D., Inc.

  • Plastic and Reconstructive Surgery Physician
  • Sherman Oaks, CA
  • NPI 1356755730
  Medicare reassignment Authorized official
• East Valley Hematolgy and Oncology Medical Group Inc.

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1750307278
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1699931501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035718",
            "telephone_number": "818-825-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 214",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035718",
            "telephone_number": "818-825-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "ELLIOT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A129834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillside Wellness Center
• Hillside Wellness Center
• Mischa Lenore Hines, LMFT
• Jagruti Hirani
• Craig Isamu Hirasawa, D.D.S.
• Thu Ho
• Amy Brooke Hochstein, M.S., CCC-SLP
• Susan Hodder, MA, MFT
• Nolland Isaiah Hodges-Brumfield
• Ashley Holland

• Plastic and Reconstructive Surgery Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.