Elist Medical Corporation

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ELIST MEDICAL CORPORATION

Practice address

1972 E Cesar E Chavez Ave
Los Angeles, CA 90033-1751

Phone

(323) 588-5555

NPI assigned

May 22, 2024

Organization subpart

Yes

Parent organization

ELIST MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Michael Elist, DONPI 1326340308

Title

President / Ceo

Phone

(818) 760-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Elist Medical Corporation

Practitioners 1

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

• Michael Elist

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1326340308
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1821837410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10648 LINDBROOK DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331751",
            "telephone_number": "323-588-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIST MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIST MEDICAL CORPORATION",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "ELIST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "818-760-2800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Xavier Elisarraras, MD
• Liora Elisha-Heravi
• Jacob Elisha, D.D.S.
• Perrin Anne Elisha, PHD
• Sassoon M Elisha, CRNA
• Elite Ambulance, Inc.
• Elite California Pain & Spine Institute
• Elite Care Pharmacy Inc
• Elite DCR LLC
• Elite Dental Hygiene Practice of Sanazrafalian,Rdhap

• Rheumatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.