Individual provider Active NPI

Neevon Carl Esmaili, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1801051248
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
66447 Issued in CA
Practice address
11400 W Olympic Blvd Ste 660
Los Angeles, CA 90064-1679
Phone
(310) 935-0032
Fax
(310) 935-0042
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 8727 CA
Psychiatry Physician 2084P0800X 66447 CA Primary

Addresses

Primary practice location

11400 W Olympic Blvd Ste 660
Los Angeles, CA 90064-1679

Mailing address

PO Box 5509
Sherman Oaks, CA 91413-5509
Phone (510) 418-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66447CAMDPsychiatry Physician
8727CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nce Health Partners LLC Child & Adolescent Psychiatry CurrentSince Mar 28, 2021 Accepting new patients
Dr. Neevon C. Esmaili, MD, a Professional Corporation Child & Adolescent Psychiatry CurrentSince Mar 28, 2021 Accepting new patients

Locations

11400 W Olympic Blvd
Ste 660
Los Angeles, CA 90064
Phone (310) 935-0032

2730 Wilshire Blvd
Ste 650
Santa Monica, CA 90403
Phone (310) 828-7378

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1801051248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914135509",
            "telephone_number": "510-418-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD STE 660",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641679",
            "telephone_number": "310-935-0032",
            "fax_number": "310-935-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAILI",
        "first_name": "NEEVON",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "8727",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "66447",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 26, 2021; 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.