Active NPI
Craig Anthony Lenz, DPM
- Podiatrist
- Stockton, CA
National Provider Identifier
1003868100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2338
- Practice address
- 1755 W Hammer LN Ste 7B
Stockton, CA 95209-2900 - Phone
- (909) 599-0891
- Fax
- (909) 592-0738
- NPI assigned
- May 17, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2338 | CA | Primary |
Addresses
Primary practice location
1755 W Hammer LN Ste 7B
Stockton, CA 95209-2900
Mailing address
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone (909) 599-0981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E23380 | Medicaid | CA | |
| 480008511 | Other | CA | MEDICARE RAIL ROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast to Coast DME | Current | Accepting new patients | |
| Camarda Foot Clinic, Inc. | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Stockton, CA
- NPI 1396360194
-
- Podiatrist
- Danville, CA
- NPI 1184770331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1003868100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BONITA AVE STE 110",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "909-599-0981",
"fax_number": "909-592-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 W HAMMER LN STE 7B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092900",
"telephone_number": "909-599-0891",
"fax_number": "909-592-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "CRAIG",
"middle_name": "ANTHONY",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E23380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "480008511",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.