ELISSA ALEXANDRA HERSKOVITZ
NPI 1225787112
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2022PECOS EnrolledAccepts Medicare Assignment
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(818) 205-7212 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elissa Alexandra Herskovitz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISSA ALEXANDRA HERSKOVITZ (NPI 1225787112) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225787112
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISSA ALEXANDRA HERSKOVITZ
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 20, 2022
NPPES CertifiedMarch 20, 2022
NPI 1225787112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

Other Names 1

Former Name (1)Elissa Alexandra Goldman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elissa Alexandra Herskovitz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628581402
PECOS Enrollment IDI20250703001871
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elissa Herskovitz's NPI number?

The NPI number for Elissa Herskovitz is 1225787112. It was assigned to this individual provider in the NPPES registry on March 20, 2022. The provider is also known as Elissa Alexandra Goldman.

Where is Elissa Herskovitz located?

Elissa Herskovitz practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (818) 205-7212.

What is Elissa Herskovitz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elissa Herskovitz enrolled in Medicare?

Yes. Elissa Herskovitz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elissa Herskovitz was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.