Individual provider Active NPI

Lamont D Paxton, M.D.

  • Vascular Surgery Physician
  • San Leandro, CA
National Provider Identifier
1033139043
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G47633 Issued in CA
Practice address
13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631
Phone
(510) 347-4700
Fax
(510) 347-4712
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G47633 CA Primary

Addresses

Primary practice location

13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631

Mailing address

13851 E 14TH St
Suite 202
San Leandro, CA 94578-2631
Phone (510) 347-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001057 CA Practitioner - Vascular Surgery 3971570698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Vascular Surgery Medical Group IncGroup PAC ID 1951390137, 5 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
201 202
San Leandro, CA 94578-2631
Phone (510) 347-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
69.73
Improvement activities
40
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
General Vascular Surgery Medical Group, Inc. Vascular Surgery CurrentSince Aug 5, 2004 Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
Riverside Medical Group PC Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

2070 Clinton Ave
#3
Alameda, CA 94501
Phone (510) 521-4412

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

27200 Calaroga Ave
Ste 101103
Hayward, CA 94545

13851 E 14th St
Ste 202
San Leandro, CA 94578
Phone (510) 347-4700

13851 E 14th St
#201202
San Leandro, CA 94578
Phone (510) 347-4700

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

100 Park Pl
Ste 150
San Ramon, CA 94583
Phone (510) 331-5085

5201 Norris Canyon Rd
Ste 210
San Ramon, CA 94583
Phone (925) 275-0551

100 Park Pl
#150
San Ramon, CA 94583
Phone (925) 275-0551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lpaxton14456@alamedahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/1920/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1033139043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "LAMONT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G47633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.