Active NPI
Sam Martin Lerner, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1003800863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17737
- Practice address
- 2333 1St Ave
Suite 105
San Diego, CA 92101-1596 - Phone
- (619) 235-8000
- Fax
- (619) 338-8178
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17737 | CA | Primary |
Addresses
Primary practice location
2333 1St Ave
Suite 105
San Diego, CA 92101-1596
Mailing address
2333 1St Ave
Suite 105
San Diego, CA 92101-1596
Phone (619) 235-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000101 | CA | Practitioner - Chiropractic | 1951560812 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2333 1St Ave
San Diego, CA 92101-1538
Phone (619) 235-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17737 | CA | MD | Chiropractor |
| 17737 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1003800863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 1ST AVE",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011596",
"telephone_number": "619-235-8000",
"fax_number": "619-338-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 1ST AVE",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011596",
"telephone_number": "619-235-8000",
"fax_number": "619-338-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "SAM",
"middle_name": "MARTIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.