Individual provider Active NPI

Elnaz Kasiri, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Hills, CA
National Provider Identifier
1831657667
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
192392 Issued in CA
Practice address
7345 Medical Center Dr Ste 600
West Hills, CA 91307-1966
Phone
(310) 792-4041
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X U0608 TX
Student in an Organized Health Care Education/Training Program 390200000X U0608 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 192392 CA Primary

Addresses

Primary practice location

7345 Medical Center Dr Ste 600
West Hills, CA 91307-1966

Mailing address

7345 Medical Center Dr Ste 600
West Hills, CA 91307-1966
Phone (310) 792-4067

Other practice location 1

301 University Blvd
Galveston, TX 77555-2897
Phone (409) 772-2155

Other practice location 2

8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone (718) 206-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000618 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 0840523510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

7345 Medical Ctr Dr
Suite 600
West Hills, CA 91307-1966
Phone (818) 347-2921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192392CAMDEndocrinology, Diabetes & Metabolism Physician
U0608TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jul 15, 2024 Accepting new patients
Providence Medical Institute Endocrinology, Diabetes & Metabolism Current Accepting new patients
Providence Medical Institute Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 2024 Accepting new patients

Locations

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

7345 Medical Center Dr
Ste 600
West Hills, CA 91307
Phone (818) 347-2921

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1831657667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 600",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071966",
            "telephone_number": "310-792-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 600",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071966",
            "telephone_number": "310-792-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775552897",
            "country_code": "US",
            "telephone_number": "409-772-2155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Van Wyck Expy",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114182897",
            "country_code": "US",
            "telephone_number": "718-206-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASIRI",
        "first_name": "ELNAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "U0608",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "U0608",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "192392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.