Individual provider Active NPI

Lauren Michelle Eisenberg, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1275994451
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003956 Issued in CA
Practice address
5865 E Naples PLZ
Long Beach, CA 90803-5040
Phone
(562) 434-4481
Fax
(562) 434-5713
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003956 CA Primary

Addresses

Primary practice location

5865 E Naples PLZ
Long Beach, CA 90803-5040

Mailing address

271 Euclid Ave
Long Beach, CA 90803-6021
Phone (714) 422-7043

Other names 1

  • Lauren Michelle Heck Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714000655 CA Practitioner - Nurse Practitioner 1759673577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 1, 2016 Accepting new patients
Transformative Women'S Care, a Nursing Professional Corporation Current Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 1, 2016 Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients

Locations

5865 E Naples Plz
Long Beach, CA 90803
Phone (310) 541-7800

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1275994451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 EUCLID AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908036021",
            "telephone_number": "714-422-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035040",
            "telephone_number": "562-434-4481",
            "fax_number": "562-434-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HECK",
            "middle_name": "MICHELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.