Elise Robin Block, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G51138 Issued in CA

Practice address

12011 San Vicente Blvd
Suite 250
Los Angeles, CA 90049-4926

Phone

(310) 472-5758

NPI assigned

Oct 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elise Block Gold Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548350804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-472-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-472-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "ELISE",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G51138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "GOLD",
            "middle_name": "BLOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arnold Bloch, L.C.S.W.
• Katherine Anne Bloch
• Lauren Garfield Bloch, MS, RDN
• Miri Bloch
• Bryan J Block, P.A.-C
• Melissa Snyder Block, DAOM, L.AC.
• Michael R Block, MD
• Zahava Block, PH.D.
• Johnna Blocker, POSTPARTUM DOULA
• Colleen Blodgett

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.