EISNER PEDIATRIC AND FAMILY MEDICAL CENTER (NPI# 1326370073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326370073 |
| Entity Type | Organization |
| Organization Name | EISNER PEDIATRIC AND FAMILY MEDICAL CENTER |
| Other Organization Name | EISNER PEDIATRIC AND FAMILY MEDICAL CENTER |
| Practice Address |
1500 S Olive St Los Angeles CA 90015-3023 |
| Practice Telephone | 2137475542 |
| Practice Fax Number | 2137469379 |
| Mailing Telephone | 2137475542 |
| Mailing Fax Number | 2137469379 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | NICOLE ALTON (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2133423333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
50156 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5636987 | 01 |
| Other Name | Type Code |
|---|---|
| Eisner Pediatric and Family Medical Center | Doing Business As Name - Organization |
| Street Address |
1500 S OLIVE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598890824 | Alicia Basurto | Social Worker | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2007-02-23 |
| 1790312239 | Kimberly Paola Huertas | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2020-03-25 |
| 1265075097 | Janina Fabian | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2019-10-24 |
| 1023504107 | Brenda Cortez | Dental Hygienist | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2018-07-02 |
| 1063910560 | Mariella Gonzalez | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2018-01-30 |
| 1609395474 | Sanam Yaghtin | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2017-09-13 |
| 1619493103 | Karla Vasquez | Counselor | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2017-08-17 |
| 1932502952 | Maria Alejandra Heman | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-10-04 |
| 1174932412 | Claudia Gomez | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-08-12 |
| 1225455967 | Rosa Garcia | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1770797805 | Martin Luther Kingjr-multi-service Ambulatory Care Center | Pharmacy | 12021 South Wilmington Ave, Los Angeles, CA 90059 | 2007-05-09 |
| 1396867578 | County of Los Angeles - Auditor Controller | Pharmacy | 5850 S. Main St, Los Angeles, CA 90003-1215 | 2007-04-06 |
| 1649303306 | Women's & Children's Hospital Pharmacy | Pharmacy | 1240 N Mission Rd Trlr 7b, Los Angeles, CA 90033-1019 | 2007-03-13 |
| 1821146622 | Kaiser Foundation Health Plan Inc | Pharmacy | 1526 N Edgemont St Fl 1, Los Angeles, CA 90027-5260 | 2007-01-08 |
| 1033131107 | Aids Healthcare Foundation | Pharmacy | 1400 S Grand Ave Ste 801, Los Angeles, CA 90015-3068 | 2006-07-24 |
| 1215575873 | Lauren Andrea Tuason | Pharmacy | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-12-13 |
| 1710437231 | San Vincente Women's Total Health Center Inc | Pharmacy | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2016-10-07 |
| 1902355647 | East La Paz Family Medical Clinic Pa | Pharmacy | 3712 Whittier Blvd, Suite 1, Los Angeles, CA 90023-1733 | 2016-09-22 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on EISNER PEDIATRIC AND FAMILY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.