Active NPI
Sara Eisenstaedt
- Social Worker
- Pittsburg, CA
National Provider Identifier
1073759320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33421
- Practice address
- 51 Marina Blvd
Ste. D & F
Pittsburg, CA 94565-2068 - Phone
- (925) 521-1270
- NPI assigned
- Dec 16, 2008
- Last updated
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33421 | CA | Primary |
Addresses
Primary practice location
51 Marina Blvd
Ste. D & F
Pittsburg, CA 94565-2068
Mailing address
4368 Lincoln Ave
Oakland, CA 94602-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33421 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1073759320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4368 LINCOLN AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MARINA BLVD",
"address_2": "STE. D & F",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945652068",
"telephone_number": "925-521-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENSTAEDT",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "33421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.