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ELYSE EISENBERG, MD
NPI 1497954911
Family Medicine - Addiction Medicine in Santa Rosa, CA

Active since July 13, 2007
725 FARMERS LN STE 10, SANTA ROSA, CA 95405(707) 575-5355(866) 870-0815 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elyse Eisenberg, Md NPPES

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

ELYSE EISENBERG, MD (NPI 1497954911) is a healthcare organization registered as an addiction medicine in Santa Rosa, California and active in the NPI registry since July 2007. The organization lists Elyse Rae Eisenberg, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1497954911
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameELYSE R. EISENBERG MD, INC.
Location Address725 FARMERS LN STE 10Santa Rosa, CA 95405-6743
Mailing Address725 Farmers Ln Ste 10Santa Rosa, CA 95405-6743 · (707) 575-5355 · Fax (866) 870-0815
Phone(707) 575-5355
Fax(866) 870-0815
Organization SubpartNo
Authorized OfficialElyse Rae EisenbergCeo And President · (707) 575-5355
Enumeration DateJuly 13, 2007
Last NPPES UpdateApril 10, 2017
✔ NPI 1497954911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · G64542
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

725 FARMERS LN STE 10, Santa Rosa, CA 95405
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Other Names 1

Other NameElyse Eisenberg, Md

Other Identifiers 2

Other14979554911Group's Npi
Medicare UPIN00G503680

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

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 Elyse R. Eisenberg MD, Inc.'s NPI number?

The NPI number for Elyse R. Eisenberg MD, Inc. is 1497954911. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is also known as Elyse Eisenberg, MD.

Where is Elyse R. Eisenberg MD, Inc. located?

Elyse R. Eisenberg MD, Inc. is located at 725 Farmers Ln Ste 10, Santa Rosa, CA 95405. The listed phone number is (707) 575-5355.

What is Elyse R. Eisenberg MD, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Elyse R. Eisenberg MD, Inc. was last updated on April 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.