Elisa E Horta, MD,MPH, a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELISA E HORTA, MD,MPH, A PROFESSIONAL MEDICAL CORPORATION

Practice address

17 Mace Blvd Ste J #285
Davis, CA 95618

Phone

(530) 400-3533

Fax

(530) 758-2589

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Elisa E Horta, MD, MPH

Title

President

Phone

(530) 400-3533

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1942294285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LYNDELL TER",
            "address_2": "SUITE 150",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166204",
            "telephone_number": "530-758-1563",
            "fax_number": "530-758-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MACE BLVD STE J #285",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-400-3533",
            "fax_number": "530-758-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA E HORTA, MD,MPH, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HORTA",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-400-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G072518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G072518",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wetona Suzanne Eidson-Ton, M.D.
• Carl J Eilers, MD
• Paula P Eisenberg, M.S.
• Jonathan Elder
• Lisa Ann Elenberger, DDS
• Thomas E Elliott, M.D.
• Ashli Ellis, PSY.D.
• Keenan Ellis
• Florence Elmore, PSY.D.
• Emerie G Elrod I

• Family Medicine Physician in Davis, CA
• Providers in Davis, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.