ELSAGAV S SHAHAM MD NPI 1386636611

NPI Information

  • NPI: 1386636611
  • Provider Name: ELSAGAV S SHAHAM, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 866 N VERMONT AVE
    #1
    LOS ANGELES, CA
    ZIP 90029
  • Phone: (323) 660-2100

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NPI Details

Elsagav S Shaham, MD is an obstetrics gynecology in Los Angeles, CA with 47 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Elsagav S Shaham, MD NPI is 1386636611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

866 N VERMONT AVE
#1
LOS ANGELES, CA
ZIP 90029-528
Phone: (323) 660-2100
Fax: (323) 662-0078

The NPI 1386636611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of within the brain blood flow (HCPCS:93886)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)

The enumeration date for this NPI number is 8/23/2005 and was last updated on 10/3/2013.

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
1207V00000XObstetrics & GynecologyG50824CALIFORNIAYes

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
1G50824MEDICARE ID-TYPE UNSPECIFIED
2F01547MEDICARE UPIN
300G508240MEDICAIDCALIFORNIA

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: 3/30/2025

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