Individual provider Active NPI

Isabel Liana Eden, DC

  • Chiropractor
  • Capitola, CA
National Provider Identifier
1295321453
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34368 Issued in CA
Practice address
4895 Capitola Rd
Capitola, CA 95010-3810
Phone
(831) 205-3146
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34368 CA Primary

Addresses

Primary practice location

4895 Capitola Rd
Capitola, CA 95010-3810

Mailing address

4895 Capitola Rd
Capitola, CA 95010-3810
Phone (831) 205-3146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824003180 CA Practitioner - Chiropractic 6406219393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34368CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medxcare Health Professionals Chiropractor CurrentSince Jul 4, 2023 Accepting new patients
Santa Cruz Core Fitness and Rehab PastSince Jul 4, 2023 Accepting new patients

Locations

317 Potrero St
Ste C
Santa Cruz, CA 95060
Phone (831) 425-9500

50 Penny Ln
Watsonville, CA 95076
Phone (831) 722-2010

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1295321453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 CAPITOLA RD",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103810",
            "telephone_number": "831-205-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 CAPITOLA RD",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103810",
            "telephone_number": "831-205-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "ISABEL",
        "middle_name": "LIANA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.