Active NPI
Mary A Lowery, MD
- Internal Medicine Physician
- Pismo Beach, CA
National Provider Identifier
1023377637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C51566
- Practice address
- 931 Oak Park Blvd Ste 101
Pismo Beach, CA 93449-3403 - Phone
- (805) 474-2600
- Fax
- (805) 474-2607
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H7181 | TX | |
| Internal Medicine Physician | 207R00000X | C51566 | CA | Primary |
Addresses
Primary practice location
931 Oak Park Blvd Ste 101
Pismo Beach, CA 93449-3403
Mailing address
PO Box 1410
Pismo Beach, CA 93448-1410
Phone (805) 489-2205
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51566 | CA | MD | Internal Medicine Physician |
| H7181 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Internal Medicine | Past | Accepting new patients |
| Ventana Health and Medical Center | Past | Accepting new patients |
Interoperability endpoints
- mlowery@amg.gwaydirect.com
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.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
-
- Family Medicine Physician
- Pismo Beach, CA
- NPI 1699758565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1023377637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934481410",
"telephone_number": "805-489-2205",
"fax_number": "805-489-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 OAK PARK BLVD STE 101",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493403",
"telephone_number": "805-474-2600",
"fax_number": "805-474-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "MARY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H7181",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C51566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.