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

Active since August 14, 2023CLIA Certified · 2 labs
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: July 26, 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 2 active CLIA laboratory certificates 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
Phone(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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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 2

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 05D2125360

Eisner Pediatric & Family Medical Center At Sherman Oaks · Sherman Oaks, CA
Active · expires Feb 5, 2027
CLIA Number05D2125360
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorRaymond Perry-Moore
Laboratory Phone(213) 747-5542
Laboratory LocationEisner Pediatric & Family Medical Center At Sherman Oaks15477 Ventura Blvd Ste 300, Sherman Oaks, CA 91403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0998535

Eisner Health Family Medicine Center At California Hospital · Los Angeles, CA
Active · expires Apr 16, 2028
CLIA Number05D0998535
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorRaymond Perry-Moore
Laboratory Phone(213) 588-0352
Laboratory LocationEisner Health Family Medicine Center At California Hospital1400 S Grand Avenue Suite 101, Los Angeles, CA 90015
CLIA data matches this NPI record on: Name
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.

AFRICA RENEE ROJAS RIVERA
Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-5582
BRENDA CORTEZ
Dental Hygienist
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
BERTHA VANESSA MENDOZA
Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (323) 747-5542
CLAUDIA GOMEZ
Student in an Organized Health Care Education/Training Program
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
ROSA GARCIA
Case Manager/Care Coordinator
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
JANINA FABIAN ACSW
Social Worker (Clinical)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-5582
EVA V GARCIA CNM
Advanced Practice Midwife
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
Pharmacy (Clinic Pharmacy)
1500 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Eisner was last updated on August 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.