ESHAGH EZRA (M.D.) – Family Medicine Physician, NPI 1790797835

ESHAGH EZRA (M.D.) is a healthcare provider. based in Calabasas, California. specializing in INTERNAL MEDICINE, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. A56249 (CA). The NPI Number for ESHAGH EZRA (M.D.) is 1790797835

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
ESHAGH EZRA (M.D.)
NPI
1790797835
Phone
(818) 891-5500
Address
22716 PAUL REVERE DR
Enumeration Date
13 August 2006
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188915500
Graduation Year
1978 (48 years ago)
PAC ID
3971543794
Professional Enrollment ID
I20050511000414
Address ID
CA913254134NO18433BLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for ESHAGH EZRA (M.D.)

  • 22716, Paul Revere Drive, Calabasas, Los Angeles County, California, 91302, United States

    CALABASAS, CA 913024812

    Phone: (818) 891-5500

    Fax: (818) 891-5505

    Type: Mailing

  • Nordhoff Street, North Hills, Northridge East Neighborhood Council District, Los Angeles, Los Angeles County, California, 91329, United States

    SUITE B

    NORTH HILLS, CA 913436951

    Phone: (818) 891-5500

    Fax: (818) 891-5505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $4,733.

Total Amount is formed as General ($1,867) + Research ($2,867) + Ownership ($0) = $4,733.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($3,678).

Total Amount

$4,733

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,867

General payments

Research Amount

$2,867

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050511000414IGeneral PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12325$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 91302)

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Reviews

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Frequently asked questions

What federal number belongs to ESHAGH EZRA (M.D.)?
The federal identifier for ESHAGH EZRA (M.D.) is NPI 1790797835.
Is ESHAGH EZRA (M.D.) currently active in the NPI registry?
CMS-published data lists ESHAGH EZRA (M.D.) as an active registrant.
Can you summarize ESHAGH EZRA (M.D.)'s specialty in plain language?
Clinically, the directory lists ESHAGH EZRA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ESHAGH EZRA (M.D.)?
The snapshot lists Calabasas, California for ESHAGH EZRA (M.D.); download NPPES for the complete set.
How can I contact ESHAGH EZRA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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