Active NPI
James E Shepard Mark C Lambert & Lawrence a Levy PTRS
- Specialist
- Greenbrae, CA
National Provider Identifier
1063500825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- JAMES E SHEPARD MARK C LAMBERT & LAWRENCE A LEVY PTRS
- Practice address
- 1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023 - Phone
- (415) 925-3075
- Fax
- (415) 925-3070
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Mary Galvin
- Title
- Practice Manager
- Phone
- (415) 925-3075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Mailing address
1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Phone (415) 925-3075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYY48896Y | Medicaid | CA |
Other names 1
- SHEPARD LAMBERT LEVY
National Provider Directory
National Provider DirectoryLocations
1300 S Eliseo Dr
Ste 100
Greenbrae, CA 94904
Phone (415) 461-7217
1200 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 461-9700
1200 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 461-9700
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Greenbrae, CA
- NPI 1780609750
-
- Nephrology Physician
- Greenbrae, CA
- NPI 1558560482
-
- Internal Medicine Physician
- Novato, CA
- NPI 1134225352
-
- Hematology & Oncology Physician
- Novato, CA
- NPI 1558467845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1063500825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S ELISEO DR",
"address_2": "SUITE 104",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042023",
"telephone_number": "415-925-3075",
"fax_number": "415-925-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S ELISEO DR",
"address_2": "SUITE 104",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042023",
"telephone_number": "415-925-3075",
"fax_number": "415-925-3070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES E SHEPARD MARK C LAMBERT & LAWRENCE A LEVY PTRS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "GALVIN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "415-925-3075",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY48896Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHEPARD LAMBERT LEVY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.