Active NPI
Dawn Eliashiv MD Inc. a Professional Medical Corporation
- Neurology Physician
- Los Angeles, CA
National Provider Identifier
1780935130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A52594
- Legal business name
- DAWN ELIASHIV MD INC. A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 8635 W 3Rd St Ste 1080W
Los Angeles, CA 90048-6183 - Phone
- (310) 659-2391
- Fax
- (310) 388-5212
- NPI assigned
- Sep 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dawn S Eliashiv, M.D
- Title
- Medical Doctor
- Phone
- (310) 659-2391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A52594 | CA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | A52594 | CA |
Addresses
Primary practice location
8635 W 3Rd St Ste 1080W
Los Angeles, CA 90048-6183
Mailing address
PO Box 11448
Beverly Hills, CA 90213-4448
Phone (310) 659-2391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A525940 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
8635 W 3rd St
Ste 1080W
Los Angeles, CA 90048
Phone (310) 289-1506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360195200000",
"number": "1780935130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11448",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902134448",
"telephone_number": "310-659-2391",
"fax_number": "310-388-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 1080W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486183",
"telephone_number": "310-659-2391",
"fax_number": "310-388-5212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN ELIASHIV MD INC. A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2013-02-07",
"status": "A",
"authorized_official_last_name": "ELIASHIV",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "310-659-2391",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A52594",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A52594",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A525940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.