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

Active since August 20, 2006CLIA 05D1042925 · Waiver
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: August 23, 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 holds a CLIA Waiver certificate valid through July 11, 2027 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1042925

Eshagh Ezra MD Inc · Northridge, CA
Active · expires Jul 11, 2027
CLIA Number05D1042925
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorEshagh Ezra
Laboratory Phone(818) 891-5500
Laboratory LocationEshagh Ezra MD Inc18433 Roscoe Blvd, Ste 202, Northridge, CA 91325
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NORTH HILLS DENTAL CENTER,INC.
Clinic/Center
15424 NORDHOFF ST
NORTH HILLS, CA 91343
Los Angeles County (818) 891-0745
SAM S DJANG
Dentist
15424 NORDHOFF ST
NORTH HILLS, CA 91343
Los Angeles County (818) 891-0745
ESHAGH EZRA M.D.
Family Medicine
15424 NORDHOFF ST, SUITE B
NORTH HILLS, CA 91343
Los Angeles County (818) 891-5500

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.

Does Eshagh Ezra M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1042925) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.