1. Home
  2. Directory
  3. California
  4. Encino
  5. Clinic Center
  6. NPI Profile

EISNER HEALTH OPTOMETRY AT ENCINO
NPI 1215586367
Clinic/Center - Federally Qualified Health Center (FQHC) in Encino, CA

Active since September 10, 2019CLIA 05D0704647 · Waiver
5400 BALBOA BLVD STE 131, ENCINO, CA 91316(213) 747-5542 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Sep 10, 2019 (2 updates tracked since 2019).

About Eisner Health Optometry At Encino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EISNER HEALTH OPTOMETRY AT ENCINO (NPI 1215586367) is a healthcare organization registered as a federally qualified health center (fqhc) in Encino, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Monica Mccarthy, Sr Vp, Coo & Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1215586367
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEDIATRIC AND FAMILY MEDICAL CENTER
Location Address5400 BALBOA BLVD STE 131Encino, CA 91316-5204
Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 747-5542
Phone(213) 747-5542
Organization SubpartYes
Authorized OfficialMonica MccarthySr Vp, Coo & Interim Ceo · (213) 747-5542
Enumeration DateSeptember 10, 2019
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1215586367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5400 BALBOA BLVD STE 131, Encino, CA 91316
Open in Google Maps ↗

Other Names 1

Doing Business AsEisner Health Optometry At Encino

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0704647

Pediatric & Family Medical Center · Los Angeles, CA
Active · expires Mar 1, 2027
CLIA Number05D0704647
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorRaymond Perry-Moore
Laboratory Phone(213) 588-0352
Laboratory LocationPediatric & Family Medical Center1530 S Olive St, Los Angeles, CA 90015
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric And Family Medical Center's NPI number?

The NPI number for Pediatric And Family Medical Center is 1215586367. It was assigned to this organization in the NPPES registry on September 10, 2019. The provider is doing business as Eisner Health Optometry At Encino.

Where is Pediatric And Family Medical Center located?

Pediatric And Family Medical Center is located at 5400 Balboa Blvd Ste 131, Encino, CA 91316. The listed phone number is (213) 747-5542.

What is Pediatric And Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Pediatric And Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0704647) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric And Family Medical Center was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.