Active NPI
Denis Lemeshov
- Phlebotomy Technician
- North Highlands, CA
National Provider Identifier
1043965064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT-02132462
- Practice address
- 5008 Shell St
North Highlands, CA 95660-5329 - Phone
- (916) 500-2561
- NPI assigned
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | CPT-02132462 | CA | Primary |
Addresses
Primary practice location
5008 Shell St
North Highlands, CA 95660-5329
Mailing address
5008 Shell St
North Highlands, CA 95660-5329
Phone (916) 500-2561
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Serumlab916@gmail.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-02132462 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1043965064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 SHELL ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605329",
"telephone_number": "916-500-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 SHELL ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605329",
"telephone_number": "916-500-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMESHOV",
"first_name": "DENIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT-02132462",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Serumlab916@gmail.com",
"affiliation": "N",
"endpointDescription": "Company email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5008 Shell St",
"city": "North Highlands",
"state": "CA",
"country_code": "US",
"postal_code": "956605329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.