ELYSE EISENBERG, MD
NPI 1497954911
Family Medicine - Addiction Medicine in Santa Rosa, CA
NPI Status: Active since July 13, 2007
Contact Information
725 FARMERS LN STE 10
SANTA ROSA, CA
ZIP 95405
Phone: (707) 575-5355
Fax: (866) 870-0815
- Organization
- Family Medicine
- Addiction Medicine
About ELYSE EISENBERG, MD
This page provides the complete NPI Profile along with additional information for Elyse Eisenberg, Md, a provider established in Santa Rosa, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1497954911 assigned on July 2007. The practitioner's primary taxonomy code is 207QA0401X with license number G64542 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Elyse Eisenberg, Md operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Elyse Eisenberg, Md. The authorized official of this NPI record is Dr. Elyse Rae Eisenberg M.d. (Ceo And President)
- NPI
- 1497954911
- Provider Legal Name
- ELYSE R. EISENBERG MD, INC.
- Other Organization Name
- ELYSE EISENBERG, MD
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 725 FARMERS LN STE 10 SANTA ROSA, CA 95405
- Location Phone
- (707) 575-5355
- Location Fax
- (866) 870-0815
- Mailing Address
- 725 FARMERS LN STE 10 SANTA ROSA, CA 95405
- Mailing Phone
- (707) 575-5355
- Mailing Fax
- (866) 870-0815
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2007
- Last Update Date
- 04-10-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G64542
- License State
- CA
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14979554911 | OTHER (01) | GROUP'S NPI | |
| 00G503680 | MEDICARE UPIN (02) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497954911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497954911, enumerated as an "organization" on July 13, 2007.
The provider is located at 725 FARMERS LN STE 10 SANTA ROSA, CA 95405 and the phone number is (707) 575-5355.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
