East Bay Gynecologic Oncology

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

A92223 Issued in CA

Legal business name

EAST BAY GYNECOLOGIC ONCOLOGY

Practice address

105 Monte Vista Rd
Orinda, CA 94563-1619

Phone

(310) 926-2451

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dimitry Lerner, MD

Title

Owner

Phone

(310) 926-2451

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1003289919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MONTE VISTA RD",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631619",
            "telephone_number": "310-926-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MONTE VISTA RD",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631619",
            "telephone_number": "310-926-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY GYNECOLOGIC ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "DIMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-926-2451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A92223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Otis Degroot, LPCC, CRC
• Baljit Dhillon, DDS
• Kristi Doberenz, DDS
• Kelly Elaine Dombek
• Dr Kevin Wong DC Orinda Chiropractic Center PC
• East Bay Pediatrics Medical Group
• East Bay Physicians Medical Group
• Ebmc Psychology, Inc
• John S. Edelen, M.D.
• Marlene Ingrid Ehlers, DC

• Gynecologic Oncology Physician in Orinda, CA
• Providers in Orinda, CA by specialty
• Gynecologic Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.