Active NPI
Paul D Ephraim, M.D.
- Gastroenterology Physician
- Burbank, CA
National Provider Identifier
1912909037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G14895
- Practice address
- 2601 W Alameda Ave
Ste 100
Burbank, CA 91505-4808 - Phone
- (818) 295-6944
- Fax
- (818) 295-6948
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G14895 | CA | Primary |
Addresses
Primary practice location
2601 W Alameda Ave
Ste 100
Burbank, CA 91505-4808
Mailing address
8510 Balboa Blvd
Suite 150
Northridge, CA 91325-5810
Phone (818) 637-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G148950 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G14895 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale New Haven Hospital | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Interoperability endpoints
- paul.ephraim.p1@direct.lakeside.nextgenshare.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- Psychiatric Hospital Unit
- New Haven, CT
- NPI 1427100957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1912909037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD",
"address_2": "SUITE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-637-2000",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W ALAMEDA AVE",
"address_2": "STE 100",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054808",
"telephone_number": "818-295-6944",
"fax_number": "818-295-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPHRAIM",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G14895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G148950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.