Organization Active NPI

James E Shepard Mark C Lambert & Lawrence a Levy PTRS

  • Specialist
  • Greenbrae, CA
National Provider Identifier
1063500825
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 18, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
YYY48896YMedicaidCA

Other names 1

  • SHEPARD LAMBERT LEVY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.