Organization Active NPI

Edward a Lembert MD Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1063558492
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C35648 Issued in CA
Legal business name
EDWARD A LEMBERT MD INC
Practice address
7235 N 1St St
Suite 103
Fresno, CA 93720-2964
Phone
(559) 432-2600
Fax
(559) 432-8518
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Mr. Edward A Lembert, MD
Title
President Owner
Phone
(559) 432-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C35648 CA Primary

Addresses

Primary practice location

7235 N 1St St
Suite 103
Fresno, CA 93720-2964

Mailing address

7235 N 1St St
Suite 103
Fresno, CA 93720-2964
Phone (559) 432-2600

Other identifiers 3

IdentifierTypeStateIssuer
00C356480MedicaidCA
1114920428OtherCAMEDICARE INDIVIDUAL NPI
ZZZ04265ZOtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

7235 N 1st St
Fresno, CA 93720
Phone (559) 326-2125

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1063558492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 N 1ST ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202964",
            "telephone_number": "559-432-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 N 1ST ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202964",
            "telephone_number": "559-432-2600",
            "fax_number": "559-432-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A LEMBERT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "LEMBERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "559-432-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C35648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C356480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1114920428",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ04265Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.