Jack Edward Lamendola, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00A37053 Issued in CA

Practice address

7248 S Land Park Dr
Suite 113
Sacramento, CA 95831-3660

Phone

(916) 395-5226

Fax

(916) 399-1569

NPI assigned

Jul 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Elk Grove Pediatrics, Inc

  • Specialist
  • Elk Grove, CA
  • NPI 1437354677
  NPD (past)
• Sutter Tracy Community Hospital

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1043291164
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053345959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR",
            "address_2": "SUITE 113",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313660",
            "telephone_number": "916-395-5226",
            "fax_number": "916-399-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR",
            "address_2": "SUITE 113",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313660",
            "telephone_number": "916-395-5226",
            "fax_number": "916-399-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMENDOLA",
        "first_name": "JACK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "00A37053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A370531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Grace Lambert
• Whitney Rae Lambert
• Marina Lambertson
• Mark Lambeth
• Isabelle Lambirth
• Janel Angeles Lamento
• Lamercie Youth and Adult Services, Inc.
• Lamercieyouthandadultservices, Incorporated (LamercieYouth Homes ' I'm Not Alone' Program)
• Kristen Renee Lamica
• Aastha Lamichhane

• Pediatrics Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.