DR. ORVAL MYRON ESHELMAN M.D. NPI 1366445116

NPI Information

NPI: 1366445116
Provider Name: DR. ORVAL MYRON ESHELMAN, M.D.
Classification: Dermatology - 207NI0002X
Entity Type: Individual

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
14981 NATIONAL AVE
STE 3
LOS GATOS, CA
ZIP 95032
Phone: (408) 358-1256
Get Directions

DR. Orval Myron Eshelman, M.D. is a clinical and laboratory dermatological immunology dermatology in Los Gatos, CA. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. DR. Orval Myron Eshelman, M.D. NPI is 1366445116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14981 NATIONAL AVE
STE 3
LOS GATOS, CA
ZIP 95032-600
Phone: (408) 358-1256
Fax: (408) 358-1826

The enumeration date for this NPI number is 5/24/2005 and was last updated on 3/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207NI0002X	Dermatology	Clinical & Laboratory Dermatological Immunology	A20441	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A204410	OTHER	CALIFORNIA	MEDICARE ID
2	010061395	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	770494064	OTHER	CALIFORNIA	TRICARE
4	004643	OTHER	CALIFORNIA	HEALTH NET
5	00A204410	OTHER	CALIFORNIA	BLUE SHIELD
6	A20441	OTHER	CALIFORNIA	STATE LICENSE
7	A22164	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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