Individual provider Active NPI

Steven G Eisenberg, D.O.

  • Hematology & Oncology Physician
  • San Diego, CA
National Provider Identifier
1831162627
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20A8293 Issued in CA
Practice address
16918 Dove Canyon Rd Ste 103
San Diego, CA 92127-3455
Phone
(588) 649-5100
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Cancer Associates for Research and Excellence Inc 64 clinicians

Practice addresses (Care Compare)

16918 Dove Canyon Rd
Suite 103
San Diego, CA 92127-3455
Phone (858) 649-5100

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050614001042 CA Practitioner - Hematology/Oncology 1153365705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8293CAMDHematology & Oncology Physician
8293CAMDHearing Instrument Specialist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Mar 1, 2012 Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Mar 1, 2012 Accepting new patients
Scripps Health Current Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

625 Citracado Pkwy
Ste 110
Escondido, CA 92025

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

9850 Genesee Ave
Ste 830
La Jolla, CA 92037
Phone (619) 552-1410

7675 Dagget St
Ste 370
San Diego, CA 92111
Phone (619) 550-3570

16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100

838 Nordahl Rd
Ste 300
San Marcos, CA 92069
Phone (800) 456-5860

838 Nordahl Rd
Ste 320
San Marcos, CA 92069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: seisenberg38115@scrippshlth.medalliesdirect.net
  • Direct secure messaging: steven.eisenberg@ccare.direct.varian.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20A8293 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

16918 Dove Canyon Rd Ste 103
San Diego, CA 92127-3455

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (559) 326-1222

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00AX82930MedicaidCA
D7061958OtherCAMEDICAL LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2020.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1831162627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273455",
            "telephone_number": "588-649-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A8293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX82930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D7061958",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.