Active NPI
Toni Leona Eisenga
- Counselor
- Stockton, CA
National Provider Identifier
1235363367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C0986642
- Practice address
- 1149 N El Dorado St
Stockton, CA 95202-1305 - Phone
- (209) 468-2337
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C0986642 | CA | Primary |
Addresses
Primary practice location
1149 N El Dorado St
Stockton, CA 95202-1305
Mailing address
1149 N El Dorado St
Stockton, CA 95202-1305
Phone (209) 468-2337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0986642 | Other | CA | DRIVERS LICENSE |
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 |
|---|---|---|---|
| C0986642 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1235363367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 N EL DORADO ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021305",
"telephone_number": "209-468-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 N EL DORADO ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021305",
"telephone_number": "209-468-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENGA",
"first_name": "TONI",
"middle_name": "LEONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "C0986642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "C0986642",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.