Individual provider Active NPI

Elroy Vojdani, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1932364577
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A110763 Issued in CA
Practice address
11620 Wilshire Blvd Ste 420
Los Angeles, CA 90025-1779
Phone
(424) 256-0272
Fax
(424) 389-3797
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A110763 CA
General Practice Physician 208D00000X A110763 CA Primary

Addresses

Primary practice location

11620 Wilshire Blvd Ste 420
Los Angeles, CA 90025-1779

Mailing address

11620 Wilshire Blvd Ste 420
Los Angeles, CA 90025-1779
Phone (424) 256-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110763CAMDMarriage & Family Therapist
A110763CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lac Usc Keck School of Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1932364577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251779",
            "telephone_number": "424-256-0272",
            "fax_number": "424-389-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251779",
            "telephone_number": "424-256-0272",
            "fax_number": "424-389-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOJDANI",
        "first_name": "ELROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110763",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A110763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.