Active NPI
Carl Eisenthal, RN
- Registered Nurse
- Oxnard, CA
National Provider Identifier
1366210684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95065836
- Practice address
- 1911 Williams Dr
Oxnard, CA 93036-2612 - Phone
- (805) 981-4200
- NPI assigned
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95065836 | CA | Primary |
Addresses
Primary practice location
1911 Williams Dr
Oxnard, CA 93036-2612
Mailing address
6507 Hanna Ave
Woodland Hills, CA 91303-2516
Phone (805) 279-3893
Other practice location 1
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4080
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95065836 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1366210684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6507 HANNA AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913032516",
"telephone_number": "805-279-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362612",
"telephone_number": "805-981-4200"
}
],
"practiceLocations": [
{
"address_1": "1227 E Los Angeles Ave",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930652871",
"country_code": "US",
"telephone_number": "805-582-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISENTHAL",
"first_name": "CARL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95065836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
- Edward a Morales, MD a Professional Corporation
- Tracie Joan Leshaune Edwards
- Edwin Ramirez, MD
- Eden April Eichler
- Marissa Leanne Eisengart, PT
- Joseph Alexander Eisner, M.D.
- Ahmad Saadeddine El-Ghali, OD
- Elham Elahiyoun
- Elevated Intimacy, Inc., Licensed Clinical Social Worker Corporation
- Erick Elhard, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.