Elyse R. Eisenberg MD, Inc.
NPI 1497954911ActiveOrganization· Family Medicine, Addiction Medicine· Santa Rosa, CA
Family Medicine, Addiction Medicine in Santa Rosa, California, registered in NPPES in July 2007. The authorized official on file is Elyse Rae Eisenberg, M.D., Ceo And President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497954911 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2007 |
| Last updated in NPPES | Apr 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | G64542 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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