Individual provider Active NPI

Daniel David Eshtiaghpour

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1962780148
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A122301 Issued in CA
Practice address
200 Med Plaza Suite 365, 420, 120
Los Angeles, CA 90095
Phone
(818) 461-8148
NPI assigned
Jul 22, 2011
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X A122301 CA Primary

Addresses

Primary practice location

200 Med Plaza Suite 365, 420, 120
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

1000 W Carson St. Box 400
Torrance, CA 90509
Phone (310) 222-2401

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150321000075 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7810214319 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, shared by 11 NPIs, 1,426 clinicians

Practice addresses (Care Compare)

15503 Ventura Blvd
Encino, CA 91436-3114
Phone (818) 461-8148

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122301CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Dec 1, 2024 Accepting new patients
The Regents of the University of California Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2015 Accepting new patients
The Regents of the University of California CurrentSince Sep 9, 2022 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2015 Accepting new patients
UCLA Medical Group Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Gastrointestinal Medical Center ASC Gastroenterology PastSince Dec 1, 2024 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

15503 Ventura Blvd
Ste 170
Encino, CA 91436
Phone (818) 377-3820

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038

4343 Lankershim Blvd
Ste 210
North Hollywood, CA 91602
Phone (818) 843-9038

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 100
Thousand Oaks, CA 91360
Phone (805) 418-3444

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#400
Torrance, CA 90502
Phone (310) 222-2401

27235 Tourney Rd
Ste 1100
Valencia, CA 91355
Phone (661) 254-8032

7320 Woodlake Ave
Ste 320
West Hills, CA 91307
Phone (818) 436-7686

Interoperability endpoints

  • Direct secure messaging: deshtiaghpour58860@direct.uclahealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1962780148",
    "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",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED PLAZA SUITE 365, 420, 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "818-461-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St. Box 400",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90509",
            "country_code": "US",
            "telephone_number": "310-222-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESHTIAGHPOUR",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A122301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.