Organization Active NPI

Paz Eilat MD Inc

  • Primary Care Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1770325078
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PAZ EILAT MD INC
Practice address
23154 Dolorosa St
Woodland Hills, CA 91367-6107
Phone
(310) 930-7639
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Paz Eilat, MDNPI 1053425108
Title
Ceo
Phone
(310) 930-7639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

23154 Dolorosa St
Woodland Hills, CA 91367-6107

Mailing address

23154 Dolorosa St
Woodland Hills, CA 91367-6107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717002954 CA Part B Supplier - Clinic/Group Practice 5294270948 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1770325078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23154 DOLOROSA ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23154 DOLOROSA ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676107",
            "telephone_number": "310-930-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZ EILAT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "EILAT",
        "authorized_official_first_name": "PAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-930-7639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.