Organization Active NPI

Martin E Eisner MD Inc

  • Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1659545481
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G43023 Issued in CA
Legal business name
MARTIN E EISNER MD INC
Practice address
999 N Tustin Ave
Suite 109
Santa Ana, CA 92705-6504
Phone
(714) 564-8200
Fax
(714) 953-3425
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Martin Eli Eisner, MD
Title
Owner
Phone
(714) 564-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G43023 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
Suite 109
Santa Ana, CA 92705-6504

Mailing address

PO Box 62316
Irvine, CA 92602-6077
Phone (714) 731-7871

Other names 1

  • Martin E Eisner MD FACS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1659545481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62316",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026077",
            "telephone_number": "714-731-7871",
            "fax_number": "714-731-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056504",
            "telephone_number": "714-564-8200",
            "fax_number": "714-953-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E EISNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "EISNER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-564-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G43023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin E Eisner MD FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.