Active NPI
Eiftu Solomon Haile
- Urology Physician
- Santa Monica, CA
National Provider Identifier
1932738267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A208684
- Practice address
- 1260 15TH St Ste 1200
Santa Monica, CA 90404-1147 - Phone
- (310) 794-7700
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A208684 | CA | Primary |
Addresses
Primary practice location
1260 15TH St Ste 1200
Santa Monica, CA 90404-1147
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520003285 | CA | Practitioner - Urology | 8921439613 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Rush Medical College of Rush University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 UCLA Medical PLZ
Suite 140
Los Angeles, CA 90095-3075
Phone (310) 825-5986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
dba UCLA Urology Associates
- Urology Physician
- Los Angeles, CA
- NPI 1154389799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1932738267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST STE 1200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041147",
"telephone_number": "310-794-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "EIFTU",
"middle_name": "SOLOMON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A208684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.