Ed S Jesalva MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G058063 Issued in CA

Legal business name

ED S JESALVA MD INC

Practice address

2659 Townsgate Rd
Suite 209
Westlake Village, CA 91361-2710

Phone

(805) 374-1120

Fax

(805) 374-1124

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Ed Santos Jesalva, MD

Title

Owner

Phone

(805) 374-1120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Lillian Channing

  • Marriage & Family Therapist
  • Camarillo, CA
  • NPI 1477270379

  Multi-Specialty

  NPD (past)
• Miriam Hamideh, PH.D.

  • Psychologist
  • Westlake Village, CA
  • NPI 1124183561
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1871852087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD",
            "address_2": "SUITE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612710",
            "telephone_number": "805-374-1120",
            "fax_number": "805-374-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD",
            "address_2": "SUITE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612710",
            "telephone_number": "805-374-1120",
            "fax_number": "805-374-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED S JESALVA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "JESALVA",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-374-1120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G058063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275791980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W15811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lusine Dzhimbashyan, LMFT
• Eben and Hakimi Dental Inc
• Armon Eben, DDS
• Ninus Ebrahimi, D.M.D.
• Ed Jesalva M.D.
• Edelman Media
• Marina Edelman, MFT
• Michael Marvin Edelstein, M.D.
• Edward Portnoy MD, Inc
• Shelley Edwards, DC, CFMP

• Psychiatry Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.