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

Q: 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.

Q: What is Eliza Gollub's specialty?

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

Q: 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 16 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.

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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, and ordering and referring status from the CMS PECOS system.

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.

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