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ESHAGH EZRA M.D., INC.
NPI 1770698607
Family Medicine in North Hills, CA

Active since August 20, 2006
15424 NORDHOFF ST, SUITE B, NORTH HILLS, CA 91343(818) 891-5500(818) 891-5505 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eshagh Ezra M.d., Inc. NPPES

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

ESHAGH EZRA M.D., INC. (NPI 1770698607) is a healthcare organization registered as a family medicine in North Hills, California and active in the NPI registry since August 2006. The organization lists Eshagh Ezra, Owner, as its authorized official.

NPPES Registry Identity

NPI1770698607
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameESHAGH EZRA M.D., INC.
Location Address15424 NORDHOFF ST, SUITE BNorth Hills, CA 91343-6951
Mailing Address22716 Paul Revere DrCalabasas, CA 91302-4812 · (818) 891-5500 · Fax (818) 891-5505
Phone(818) 891-5500
Fax(818) 891-5505
Organization SubpartNo
Authorized OfficialEshagh EzraOwner · (818) 891-5500
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770698607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A56249
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15424 NORDHOFF ST, North Hills, CA 91343
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Other Identifiers 1

Other1790797835CA · Dr. Ezra's Personal Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eshagh Ezra M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050510001235Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eshagh Ezra M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eshagh Ezra, M.D.
General Practice
NPI 1790797835
15424 NORDHOFF ST SUITE B
North Hills, CA 91343
(818) 891-5500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eshagh Ezra M.D., Inc.'s NPI number?

The NPI number for Eshagh Ezra M.D., Inc. is 1770698607. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Eshagh Ezra M.D., Inc. located?

Eshagh Ezra M.D., Inc. is located at 15424 Nordhoff St Suite B, North Hills, CA 91343. The listed phone number is (818) 891-5500.

What is Eshagh Ezra M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eshagh Ezra M.D., Inc. enrolled in Medicare?

Yes. Eshagh Ezra M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Eshagh Ezra M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eshagh Ezra M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Eshagh Ezra M.D., Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eshagh Ezra M.D., Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.