Organization Active NPI

Dawn Eliashiv MD Inc. a Professional Medical Corporation

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1780935130
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A52594 Issued in CA
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

Updated by the provider on Feb 7, 2013

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A52594 CA Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A525940MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.