Active NPI
Elena G Ezpeleta, MD
- Anesthesiology Physician
- Hawaiian Gardens, CA
National Provider Identifier
1871656488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A37103
- Practice address
- 21530 South Pioneer Blvd
Hawaiian Gardens, CA 90716 - Phone
- (562) 860-0401
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A37103 | CA | Primary |
Addresses
Primary practice location
21530 South Pioneer Blvd
Hawaiian Gardens, CA 90716
Mailing address
PO Box 607
San Dimas, CA 91773
Phone (909) 971-9334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A371033 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37103 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali H. Mesiwala, M.D., a Medical Corporation | Past | Accepting new patients | |
| Primary Access Medical Group, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1396374682
-
- General Practice Physician
- Long Beach, CA
- NPI 1801032164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871656488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "91773",
"telephone_number": "909-971-9334",
"fax_number": "909-971-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21530 SOUTH PIONEER BLVD",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "90716",
"telephone_number": "562-860-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZPELETA",
"first_name": "ELENA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A37103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A371033",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawaiian Gardens, CA
- El Dorado Community Service Center (Hawaiian Gardens Medical and Mental Health Services)
- El Dorado Community Service Center (American Health Services Hawaiian Gardens)
- Joseph S Englanoff, M.D.
- Euclid Foot Clinic Podiatry Group, Inc.
- Samantha Ann Evans, LVN
- Ruben A Ezquerro, DPM
- Family Health Care Centers of Greater Los Angeles, Inc. (Hawaiian Gardens Health Center)
- Weiqin Fang
- Melissa Felix
- First Care Vanguard Medical Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.