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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN EISENBERGER

Active

IAN EISENBERGER is a Sports Medicine (PM&R) healthcare provider located in ATHERTON, California. NPI 1154209732 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · ATHERTON, CA

Registration Details

NPI Number
1154209732
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2025 (1.0195265752149 yrs)
Last Updated
Aug 22, 2025
License
2000037817 (NY)

Practice Information

Address
1000 EL CAMINO REAL
ATHERTON, CA, 940274300
Browse CA providers · Browse ZIP 94027
Phone
7162288974
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.