EIDELSON MD LLC
NPI 1245011907
General Practice in Elk Grove, CA

Q: What is Eidelson MD LLC's NPI number?

The NPI number for Eidelson MD LLC is 1245011907. It was assigned to this organization in the NPPES registry on October 9, 2023.

Q: What is Eidelson MD LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Eidelson MD LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2023

9765 CANERIA WAY, ELK GROVE, CA 95757(805) 453-9178 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Eidelson Md Llc NPPES

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

EIDELSON MD LLC (NPI 1245011907) is a healthcare organization registered as a general practice in Elk Grove, California and active in the NPI registry since October 2023. The organization lists Joel R Eidelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1245011907

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEIDELSON MD LLC

Location Address9765 CANERIA WAYElk Grove, CA 95757-6225

Mailing Address9765 Caneria WayElk Grove, CA 95757-6225 · (805) 453-9178

Phone(805) 453-9178

Organization SubpartNo

Authorized OfficialJoel R EidelsonOwner · (805) 453-9178

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 9, 2023

✔ NPI 1245011907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9765 CANERIA WAY, Elk Grove, CA 95757

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Eidelson MD LLC's NPI number?

The NPI number for Eidelson MD LLC is 1245011907. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Eidelson MD LLC located?

Eidelson MD LLC is located at 9765 Caneria Way, Elk Grove, CA 95757. The listed phone number is (805) 453-9178.

What is Eidelson MD LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Eidelson MD LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.