Eric S Carlisle, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A90140 Issued in CA

Practice address

16237 Ventura Blvd
Encino, CA 91436-2201

Phone

(818) 995-5350

Fax

(818) 995-5032

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.64 of 100Reported as group

Quality

80.76

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975

  CA, Emergency Medicine

  Medicare reassignment NPD
• Tarzana Emergency Medical Associates

  • Emergency Medicine Physician
  • Tarzana, CA
  • NPI 1235176702

  CA, Emergency Medicine

  Medicare reassignment NPD
• Northridge Emergency Medical Group

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1093771222

  Emergency Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1235196288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60039",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910666039",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362201",
            "telephone_number": "818-995-5350",
            "fax_number": "818-995-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A90140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A901400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl I Blau M D Inc
• Kirstin F Carl, L.M.F.T.
• Maury Theodore Carlin I, PH.D.
• Tracy Lynn Carlis, PHD
• Elliot Ryan Carlisle, M.D.
• Evangeline Carlos, PHARMD
• Evelyn G Carlos, DMD
• Carol a. Polevoi, LMFT/Wellness Coach, Apc
• Luis Carranza
• Carla Carrasco

• All providers in Encino, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.