ELSAGAV S SHAHAM (NPI# 1386636611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386636611 |
| Entity Type | Individual |
| Full Name | ELSAGAV S SHAHAM |
| Credential | MD |
| Practice Address |
866 N Vermont Ave #1 Los Angeles CA 90029-3528 |
| Practice Telephone | 3236602100 |
| Practice Fax Number | 3236620078 |
| Mailing Telephone | 3236602100 |
| Mailing Fax Number | 3236620078 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2013-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G50824 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G508240 | 05 |
| Street Address |
866 N VERMONT AVE #1 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760837538 | Nicola Azar Md, Inc | Family Medicine | 866 N Vermont Ave, Suite 3, Los Angeles, CA 90029-3587 | 2016-04-29 |
| 1659522019 | Walter Silva M D Inc | General Practice | 866 N Vermont Ave, 3, Los Angeles, CA 90029-3587 | 2008-10-03 |
| 1811146046 | Gilbert D Callis Md Inc | General Practice | 866 N Vermont Ave, 4, Los Angeles, CA 90029-3587 | 2008-09-11 |
| 1467644013 | Craig V Smith M.d. Inc. | Surgery | 866 N Vermont Ave, 3, Los Angeles, CA 90029-3587 | 2007-08-16 |
| 1326164336 | Mohammad Ashori Md Inc | Family Medicine | 866 N Vermont Ave, 3, Los Angeles, CA 90029-3587 | 2007-03-21 |
| 1649308149 | Mohammad Ashori | Family Medicine | 866 N Vermont Ave, Suit 3, Los Angeles, CA 90029-3587 | 2007-02-28 |
| 1629147046 | Vasile F Roman M D Inc | General Practice | 866 N Vermont Ave, 4, Los Angeles, CA 90029-3587 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on ELSAGAV S SHAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.