ELIAS NAME MD
NPI 1265580062
Internal Medicine in Panorama City, CA
About Elias Name Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIAS NAME MD (NPI 1265580062) is an individual internal medicine provider in Panorama City, California, licensed in California (A81171) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elias Name Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Elias Name reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PANORAMA CITY, CA 91402
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 Elias Name's NPI number?
The NPI number for Elias Name is 1265580062. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Elias Name located?
Elias Name practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.
What is Elias Name's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Elias Name enrolled in Medicare?
Yes. Elias Name 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.
Which organization bills Medicare for Elias Name's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elias Name reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elias Name's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elias Name was last updated on December 8, 2021. 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.
# Elias Name, MD · NPI 1265580062
Internal Medicine physician in Panorama City, California. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1265580062 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A81171 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13652 CANTARA ST, Panorama City, CA 91402-5423
- **Phone:** (818) 375-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265580062) · Data from the CMS NPPES public registry.