Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joseph Ivan Eichenseher, MD

Individual provider Family Medicine Physician · NPI 1164628590

Joseph Ivan Eichenseher, MD is a Family Practice in Santa Rosa, California. Graduated from University of Wisconsin School of Medicine in 2007, 19 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
University of Wisconsin School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

751 Lombardi Ct
Santa Rosa, CA 95407-6798
Phone: (707) 303-3600
Fax: (707) 547-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A105703 (CA)

Record details

NPI number1164628590
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address751 Lombardi Ct, Santa Rosa, CA 95407-6798

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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