Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELYSE RAE EISENBERG, M.D.
Active Sole ProprietorDR. ELYSE RAE EISENBERG, M.D. is a Addiction Medicine (Family Practice) healthcare provider located in SANTA ROSA, California. NPI 1316966815 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SANTA ROSA, CA
Registration Details
- NPI Number
- 1316966815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (20.107695836756 yrs)
- Last Updated
- Mar 10, 2025
- Licenses
-
G64542 (CA)G64542 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
725 FARMERS LNSTE 10SANTA ROSA, CA, 954056710Browse CA providers · Browse ZIP 95405
- Phone
- 7075233375
- Fax
- 8668700815
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- General Practice
Other Addiction Medicine (Family Practice) Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PARKER ANDREW DUNCAN DIAZ | MD, MPH, FAAFP | 1033434923 |
| MYLES JULIAN KETCHUM | M.D., PH.D. | 1093249864 |
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.