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ELIZA GOLLUB N.P.
NPI 1952743288
Nurse Practitioner - Adult Health in Beverly Hills, CA

Active since July 29, 2013PECOS Enrolled
9725 WILSHIRE BLVD, BEVERLY HILLS, CA 90212(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2025, Feb 7, 2023, Oct 14, 2022 and 2 more (5 updates tracked since 2018).

About Eliza Gollub N.p. NPPES

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

ELIZA GOLLUB N.P. (NPI 1952743288) is an individual adult health provider in Beverly Hills, California, licensed in California (95003022) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952743288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZA GOLLUBCredential: N.P.
Location Address9725 WILSHIRE BLVDBeverly Hills, CA 90212
Mailing Address9725 Wilshire BlvdBeverly Hills, CA 90212-2002 · (323) 305-7150 · Fax (323) 305-7149
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Enumeration DateJuly 29, 2013
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1952743288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in CA · 95003022✔ Licensed in NH · 084009-23✔ Licensed in MA · RN2269752
Also ListedNurse PractitionerTaxonomy 363L00000X · License NPP37773 (RI)
9725 WILSHIRE BLVD, Beverly Hills, CA 90212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliza Gollub N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Eliza Gollub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Medical Group, Inc
117 mi
Family Medicine
1230 COLUMBIA ST STE 100
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 291 clinicians in this Medicare group
NPI 1801666904 (619) 232-3500

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 90212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

CHRISTINA VU PHAM
Family Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (323) 305-7150
DR. ERIN DURALDE MD
Internal Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (888) 663-6331
DR. DERRICK TRONG NGUYEN DO
Family Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (888) 663-6331
MS. TRACEY BREBNER P.A.
Physician Assistant
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (323) 305-7150
JACQUELINE E YARIS M.D.
Internal Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (323) 305-7150
AARTI R KULKARNI MD
Family Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (323) 305-7150
ONE MEDICAL SENIORS GROUP, INC.
Family Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (888) 663-6331
CASEY JAMES NAGEL M.D.
Internal Medicine
9725 WILSHIRE BLVD
BEVERLY HILLS, CA 90212
Los Angeles County (888) 663-6331

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 Eliza Gollub's NPI number?

The NPI number for Eliza Gollub is 1952743288. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Eliza Gollub located?

Eliza Gollub practices at 9725 Wilshire Blvd, Beverly Hills, CA 90212. The listed phone number is (888) 663-6331.

What is Eliza Gollub's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Eliza Gollub enrolled in Medicare?

Yes. Eliza Gollub is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eliza Gollub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliza Gollub reassigns Medicare benefits to One Medical Group, Inc (San Diego, 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 Eliza Gollub'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 Eliza Gollub was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.