Eli Ahdoot, DO, Inc.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

Legal business name

ELI AHDOOT, DO, INC.

Practice address

191 S Buena Vista St Ste 370
Burbank, CA 91505-4562

Phone

(818) 324-5577

NPI assigned

Apr 29, 2021

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli Ahdoot, DONPI 1609280478

Title

President

Phone

(818) 322-0126

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eli Ahdoot, D.O

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1609280478
  Medicare reassignment Care Compare group NPD Authorized official
• Claudia Maria Ghisa, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Burbank, CA
  • NPI 1629539184
  Medicare reassignment Care Compare group NPD
• Ludwing Oswaldo Herrera Castellanos, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1730894460
  Medicare reassignment Care Compare group
• Ardalan Alen Nourian, MD

  • Orthopaedic Surgery of the Spine Physician
  • Moorpark, CA
  • NPI 1811224405
  NPD (past)

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1912580762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 370",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 370",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562",
            "telephone_number": "818-324-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI AHDOOT, DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "AHDOOT",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-322-0126",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BURBANK",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "191 S Buena Vista St",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Reconstructive Orthopaedic Surgery Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.