ELYSE R. EISENBERG MD INC. NPI 1497954911

NPI Information

  • NPI: 1497954911
  • Provider Name: ELYSE R. EISENBERG MD, INC.
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Other Name: ELYSE EISENBERG, MD
  • Address: 725 FARMERS LN STE 10
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 575-5355

Map and Directions

Get Directions

NPI Details

ELYSE R. EISENBERG MD, INC. is an addiction medicine family medicine in Santa Rosa, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ELYSE R. EISENBERG MD, INC. NPI is 1497954911. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elyse Eisenberg, Md.

The provider's business location address is:

725 FARMERS LN STE 10
SANTA ROSA, CA
ZIP 95405-743
Phone: (707) 575-5355
Fax: (866) 870-0815

The provider's authorized official is Elyse Rae Eisenberg .
The authorized official title is Ceo And President and has the following contact phone number (707) 575-5355.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineG64542CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114979554911OTHERGROUP'S NPI
200G503680MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI