Individual provider Active NPI

Christiane Natascha Eisele, M.D.

  • Emergency Medicine Physician
  • Vallejo, CA
National Provider Identifier
1679791305
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A84490 Issued in CA
Practice address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone
(707) 651-1000
NPI assigned
Apr 20, 2007
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD15391R LA
Emergency Medicine Physician 207P00000X A84490 CA Primary

Addresses

Primary practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Mailing address

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000

Other identifiers 2

IdentifierTypeStateIssuer
06073231MedicaidMS
1625329MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050808000649 LA Practitioner - Emergency Medicine 9931138286 Reassigns benefits to 2 organizations
I20121207000155 CA Practitioner - Emergency Medicine 9931138286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Redwood Medical Group IncGroup PAC ID 5496652703, 58 clinicians
Vallejo Emergency Physicians Medical Group IncGroup PAC ID 2961683693, 11 clinicians
Napa Valley Emergency Medical GroupGroup PAC ID 5698664977, 21 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-5210

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
87.42
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15391RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vallejo Emergency Physicians Medical Group Inc. Emergency Medicine CurrentSince Feb 6, 2017 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Jan 19, 2009 Accepting new patients
Napa Valley Emergency Medical Group Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince May 22, 2015 Accepting new patients

Locations

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1679791305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELE",
        "first_name": "CHRISTIANE",
        "middle_name": "NATASCHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD15391R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A84490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06073231",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625329",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.