NPIMap

Individual provider Active NPI

Lezley Brown, M.D.

  • Family Medicine Physician
  • Rocklin, CA
National Provider Identifier
1033202650
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C52481 Issued in CA
Practice address
6960 Destiny Dr Ste 100
Rocklin, CA 95677
Phone
(916) 624-1777
Fax
(916) 624-1770
NPI assigned
Oct 2, 2006
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C52481 CA Primary

Addresses

Primary practice location

6960 Destiny Dr Ste 100
Rocklin, CA 95677

Mailing address

6960 Destiny Dr Ste 100
Rocklin, CA 95677-2995
Phone (916) 624-1777

Other identifiers 1

IdentifierTypeStateIssuer
C52481OtherCAMEDICAL LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000820 CA Practitioner - Family Practice 0244273316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Placer Private Physicians IncGroup PAC ID 3476775040, 3 clinicians

Practice addresses (Care Compare)

6960 Destiny Dr
Suite 100
Rocklin, CA 95677-2995
Phone (916) 624-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
95.43
Promoting interoperability
100
Improvement activities
40
Cost
65.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52481CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Placer Private Physicians Inc Family Medicine CurrentSince Dec 22, 2018 Accepting new patients
Elk Grove Urgent Care Past Accepting new patients
Capitol Urgent Care Inc PastSince Jan 20, 2013 Accepting new patients

Locations

6960 Destiny Dr
Ste 100
Rocklin, CA 95677
Phone (916) 624-1777

Interoperability endpoints

  • Direct secure messaging: lbrown217068@hisp.ehr.sutterhealth.org
  • Direct secure messaging: lezley.brown.1@2545.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1033202650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 DESTINY DR STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772995",
            "telephone_number": "916-624-1777",
            "fax_number": "916-624-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 DESTINY DR STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "95677",
            "telephone_number": "916-624-1777",
            "fax_number": "916-624-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LEZLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "C52481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.