EISNER
NPI 1477336543
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since August 14, 2023CLIA 05D2104570 · Waiver
1500 S OLIVE ST, LOS ANGELES, CA 90015(213) 747-5542 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Eisner NPPES

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

EISNER (NPI 1477336543) is a healthcare organization registered as a student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Rosaura Ruiz, Behavioral Health Coordinator, as its authorized official.

NPPES Registry Identity

NPI1477336543
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameEISNER
Location Address1500 S OLIVE STLos Angeles, CA 90015-3023
Mailing Address1500 S Olive StLos Angeles, CA 90015-3023 · (213) 747-5542
Organization SubpartNo
Authorized OfficialRosaura RuizBehavioral Health Coordinator · (213) 747-5542
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
NPI 1477336543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S OLIVE ST, Los Angeles, CA 90015

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2104570

Eisner Pediatric & Family Medical Center - Women's · Los Angeles, CA
Active · expires Nov 5, 2027
CLIA Number05D2104570
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorRaymond Perry-Moore
Laboratory Phone(213) 747-5542
Laboratory LocationEisner Pediatric & Family Medical Center - Women's1513 S Grand Ave Ste 250, Los Angeles, CA 90015
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Dental Hygienist
1500 S OLIVE ST
LOS ANGELES, CA 90015
Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1500 S OLIVE ST
LOS ANGELES, CA 90015
Case Manager/Care Coordinator
1500 S OLIVE ST
LOS ANGELES, CA 90015
Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Advanced Practice Midwife
1500 S OLIVE ST
LOS ANGELES, CA 90015
Pharmacy (Clinic Pharmacy)
1500 S OLIVE ST
LOS ANGELES, CA 90015

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 Eisner's NPI number?

The NPI number for Eisner is 1477336543. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Eisner located?

Eisner is located at 1500 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 747-5542.

What is Eisner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Does Eisner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2104570) is associated with this NPI, valid through November 5, 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 Eisner was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.