Elliott Eisenbud, MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G23760 Issued in CA

Legal business name

ELLIOTT EISENBUD, MD INC.

Practice address

6600 Mercy CT Ste 110
Fair Oaks, CA 95628-3150

Phone

(916) 966-5404

Fax

(916) 966-0932

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Tiffany Rustin

Title

Office Manager

Phone

(916) 966-6139

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucille Katavich, P.A.-C

  • Medical Physician Assistant
  • Fair Oaks, CA
  • NPI 1568481869
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1609055698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 110",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283150",
            "telephone_number": "916-966-5404",
            "fax_number": "916-966-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 110",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283150",
            "telephone_number": "916-966-5404",
            "fax_number": "916-966-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT EISENBUD, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "RUSTIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-966-6139"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G23760",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G23760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanika Tanae Elebeck
• Elisabeth S Swan Optometry Inc
• Julissa Elizondo
• Elaine Amanda Ellers, LCSW
• Ellie Zacks, PHD Clinical Psychologist, Apc
• Nancy Ellis-Cawley, L.C.S.W.
• Debra Ellis
• Elsie H Huang MD Inc
• Daniela Enriquez Morales
• Patrick Okechukwu Eronini, AGACNP-BC

• Internal Medicine Physician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.