ELYSE R. EISENBERG, MD, INC. (NPI# 1003225061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003225061 |
| Entity Type | Organization |
| Organization Name | ELYSE R. EISENBERG, MD, INC. |
| Practice Address |
725 Farmers Ln Ste 10 Santa Rosa CA 95405-6710 |
| Mailing Address |
2685 Leslie Rd Santa Rosa CA 95404-9607 |
| Practice Telephone | 7075233375 |
| Practice Fax Number | 8668700815 |
| Mailing Telephone | 7074776617 |
| Mailing Fax Number | 8664158441 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | DR. ELYSE RAE EISENBERG (PRESIDENT) |
| Authorized Official Telephone | 7075233375 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | G64542 | CA | Ambulatory Health Care Facilities |
| Street Address |
725 FARMERS LN STE 10 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316966815 | Elyse Rae Eisenberg | Family Medicine | 725 Farmers Ln, Ste 10, Santa Rosa, CA 95405-6710 | 2006-07-18 |
| 1619363207 | Georgia Anne Berry | Marriage & Family Therapist | 725 Farmers Ln, Suite 15, Santa Rosa, CA 95405-6710 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220675 | County of Sonoma | Clinic/Center | 7400 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6540 | 2017-12-05 |
| 1770924326 | Bartlett Chiropractic, Inc | Clinic/Center | 2718 Tachevah Dr, Santa Rosa, CA 95405-8420 | 2013-07-11 |
| 1962613349 | Santa Rosa Community Health Centers | Clinic/Center | 3569 Round Barn Circle, Santa Rosa, CA 95403-5781 | 2007-05-25 |
| 1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
| 1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
| 1316439979 | Women's Obgyn | Clinic/Center | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2018-05-30 |
| 1265949259 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2017-12-29 |
| 1053662353 | Thomas M. Collins Chiropractic, Inc. | Clinic/Center | 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405-6747 | 2012-09-26 |
| 1124305495 | Sonoma County Indian Health Project Inc. | Clinic/Center | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2011-11-14 |
| 1699941914 | Pregnancy Counseling Center of Sonoma County | Clinic/Center | 750 Mendocino Ave, Suite 1, Santa Rosa, CA 95401-4846 | 2008-05-06 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on ELYSE R. EISENBERG, MD, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.