Active NPI
Nancy Lee Iverson, MD
- Pediatrics Physician
- Pleasant Hill, CA
National Provider Identifier
1073631461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C38338
- Practice address
- 3470 Buskirk Ave
Pleasant Hill, CA 94523-4316 - Phone
- (925) 887-5678
- Fax
- (925) 887-5667
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C38338 | CA | Primary |
Addresses
Primary practice location
3470 Buskirk Ave
Pleasant Hill, CA 94523-4316
Mailing address
PO Box 31354
San Francisco, CA 94131-0354
Phone (415) 648-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38338 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073631461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31354",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941310354",
"telephone_number": "415-648-3707",
"fax_number": "415-648-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3470 BUSKIRK AVE",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234316",
"telephone_number": "925-887-5678",
"fax_number": "925-887-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "NANCY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C38338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.