Elisabeth B Lernhardt MD Inc Apc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A047847 Issued in CA

Legal business name

ELISABETH B LERNHARDT MD INC APC

Practice address

11286 Pleasant Valley Rd
Penn Valley, CA 95946-9413

Phone

(530) 432-1300

Fax

(530) 432-5214

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elisabeth Brigitte Lernhardt, MD

Title

Owner

Phone

(530) 432-1300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063609725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11286 PLEASANT VALLEY RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469413",
            "telephone_number": "530-432-1300",
            "fax_number": "530-432-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11286 PLEASANT VALLEY RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469413",
            "telephone_number": "530-432-1300",
            "fax_number": "530-432-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH B LERNHARDT MD INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LERNHARDT",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "BRIGITTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-432-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A047847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A478471",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "A47847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Penn Valley, CA
• Providers in Penn Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.