Sergio Aisenberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4295 Issued in FL

Practice address

630 University Ave Ste a
Palo Alto, CA 94301-2019

Phone

(786) 424-5200

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1326812355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 UNIVERSITY AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 UNIVERSITY AVE STE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012019",
            "telephone_number": "786-424-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20900 NE 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802157",
            "country_code": "US",
            "telephone_number": "786-424-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AISENBERG",
        "first_name": "SERGIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Young Ahn-Horst, MD MPH
• James Ahn, M.D.
• Junsup Justin Ahn, PHARMD
• Namrata Ahuja, M.D.
• Prerna Ahuja, MBBS
• Mary Jane Jerry Ajlouny, CNM
• Deema B Akari, M.D
• Azin Akbarnejad-Oshagh, M.D.
• Teddy Akiki, MD
• Sayanta Akkad, M.D.

• Clinical Social Worker in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.