Eleanore Meyer, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

G13305 Issued in CA

Practice address

11911 San Vicente Blvd Ste 225
Los Angeles, CA 90049-5066

Phone

(310) 472-6462

Fax

(310) 471-7781

NPI assigned

Jan 30, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eric Mizrahi MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043488257
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598802829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 225",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495066",
            "telephone_number": "310-472-6462",
            "fax_number": "310-471-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 225",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495066",
            "telephone_number": "310-472-6462",
            "fax_number": "310-471-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ELEANORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G13305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUM",
            "identifier": "G13305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake N Meyer, MD
• C. Buf Meyer, PH.D., PSY.D.
• Cassandra Meyer
• Christopher Charles Meyer, PH.D.
• Cindy Meyer
• Jill Susan Meyer, LCSW
• John Landeene Meyer, DPT, OCS
• Katie Elizabeth Meyer
• Lynne Meyer, PSY.D.
• Michelle Anne Meyer, PSYD

• Pediatric Adolescent Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.