Organization Active NPI

Robert B. Eisenberg, M.D., Inc.,

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1982938247
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A31900 Issued in CA
Legal business name
ROBERT B. EISENBERG, M.D., INC.,
Practice address
8851 Center Dr
Suite 501
La Mesa, CA 91942-3058
Phone
(619) 697-2456
Fax
(619) 697-2494
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Robert B. Eisenberg, M.D.NPI 1821014820
Title
President
Phone
(619) 697-2456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A31900 CA Primary

Addresses

Primary practice location

8851 Center Dr
Suite 501
La Mesa, CA 91942-3058

Mailing address

8851 Center Dr
Suite 501
La Mesa, CA 91942-3058
Phone (619) 697-2456

Other identifiers 1

IdentifierTypeStateIssuer
1982938247MedicaidCA

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": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1982938247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 501",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423058",
            "telephone_number": "619-697-2456",
            "fax_number": "619-697-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 501",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423058",
            "telephone_number": "619-697-2456",
            "fax_number": "619-697-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. EISENBERG, M.D., INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-697-2456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A31900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982938247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.