DR. ELLIOT RYAN CARLISLE (NPI# 1669453676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669453676 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT RYAN CARLISLE |
| Credential | M.D. |
| Practice Address |
16311 Ventura Blvd Suite 800 Encino CA 91436-2124 |
| Mailing Address |
17525 Ventura Blvd Suite 203 Encino CA 91316-3843 |
| Practice Telephone | 8187887343 |
| Practice Fax Number | 8187889453 |
| Mailing Telephone | 8189860200 |
| Mailing Fax Number | 8189864390 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A74780 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A233730 | 05 |
| Street Address |
16311 VENTURA BLVD SUITE 800 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902792 | Jeffrey D Goss | Podiatrist | 16311 Ventura Blvd, Ste 630, Encino, CA 91436-4318 | 2005-06-17 |
| 1124479084 | Bryan E Chan Md Inc | Anesthesiology | 16311 Ventura Blvd, Suite #1010, Encino, CA 91436-2124 | 2016-06-22 |
| 1215392238 | John J Cho | Dentist | 16311 Ventura Blvd, Suite 527, Encino, CA 91436-2124 | 2015-12-17 |
| 1184098337 | Hope Surgery Center, Inc. | Clinic/Center | 16311 Ventura Blvd, Suite 1015, Encino, CA 91436-2124 | 2015-11-25 |
| 1699156547 | Saravanan Ram Dds Inc. | Clinic/Center | 16311 Ventura Blvd, Ste 1250, Encino, CA 91436-2124 | 2015-06-17 |
| 1073900817 | Daniel J. Cosgrove, M.d. Inc. | Urology | 16311 Ventura Blvd, Ste. 800, Encino, CA 91436-2124 | 2015-04-20 |
| 1124425855 | Hearing and Balance Center Inc | Audiologist | 16311 Ventura Blvd, Suite 841, Encino, CA 91436-2124 | 2014-11-24 |
| 1649683012 | Unity E Medical Clinic, Inc. | Specialist | 16311 Ventura Blvd, Suite 1210, Encino, CA 91436-2124 | 2014-06-03 |
| 1619394830 | Stanley J. Leiken, Md Inc. | Clinic/Center | 16311 Ventura Blvd, 1050, Encino, CA 91436-2124 | 2014-03-26 |
| 1801223391 | Dr. Julian Zhitnitsky's Dental Care, Inc. | Dentist | 16311 Ventura Blvd, Suite 907, Encino, CA 91436-2124 | 2013-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538402912 | Spine Inc A Medical Corporation | Orthopaedic Surgery | 16030 Ventura Blvd, 400, Encino, CA 91436-2731 | 2013-04-03 |
| 1427225440 | Elliot Ryan Carlisle Md Inc | Orthopaedic Surgery | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2008-05-08 |
| 1750560389 | Greg S. Khounganian | Orthopaedic Surgery | 5363 Balboa Blvd, Ste 245, Encino, CA 91316 | 2007-10-31 |
| 1629265434 | Khodamrad Payman, M.d., Inc. | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-3843 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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| 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.