Individual provider Active NPI

Eduardo Adrian Eizner Sr., MFT

  • Marriage & Family Therapist
  • Salinas, CA
National Provider Identifier
1699807628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
34292 Issued in CA
Practice address
11 Maple St Ste C
Salinas, CA 93901-3249
Phone
(831) 595-2074
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 34292 CA Primary

Addresses

Primary practice location

11 Maple St Ste C
Salinas, CA 93901-3249

Mailing address

11 Maple St Ste C
Salinas, CA 93901-3249
Phone (831) 595-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2024 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699807628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAPLE ST STE C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013249",
            "telephone_number": "831-595-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAPLE ST STE C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013249",
            "telephone_number": "831-595-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIZNER",
        "first_name": "EDUARDO",
        "middle_name": "ADRIAN",
        "name_suffix": "Sr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.