NPIMap

Organization Active NPI

Allen L. Iseri M.D.

Doing business as Eclipse Medical Group

  • Pediatrics Physician
  • Anaheim, CA
National Provider Identifier
1629235585
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALLEN L. ISERI M.D.
Doing business as
Eclipse Medical Group
Practice address
478 S Anaheim Hills Rd
Anaheim, CA 92807
Phone
(714) 282-5437
Fax
(714) 282-8724
NPI assigned
May 19, 2008
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Allen Lloyd Iseri, M.D.NPI 1821021221
Title
Owner
Phone
(714) 282-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

478 S Anaheim Hills Rd
Anaheim, CA 92807

Mailing address

478 S Anaheim Hills Rd
Anaheim, CA 92807
Phone (714) 282-5437

Other names 1

  • Eclipse Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allen L Iseri MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1629235585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 S ANAHEIM HILLS RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-282-5437",
            "fax_number": "714-282-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 S ANAHEIM HILLS RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-282-5437",
            "fax_number": "714-282-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN L. ISERI M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "ISERI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-282-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eclipse Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.