Organization Active NPI

Alsay Medical Group Inc.

  • Adult Medicine Physician
  • San Diego, CA
National Provider Identifier
1629192091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G23834 Issued in CA
Legal business name
ALSAY MEDICAL GROUP INC.
Practice address
4440 Euclid Ave
Suite a
San Diego, CA 92115-4522
Phone
(619) 280-3200
NPI assigned
Mar 19, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James William Eisenberg, M.D.
Title
President
Phone
(310) 899-1525

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X G23834 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4440 Euclid Ave
Suite a
San Diego, CA 92115-4522

Mailing address

610 21St St
Santa Monica, CA 90402-3036
Phone (310) 899-1525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629192091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904023036",
            "telephone_number": "310-899-1525",
            "fax_number": "310-899-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-280-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSAY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-899-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G23834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.