Michael D Lagios M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A22300 Issued in CA

Legal business name

MICHAEL D LAGIOS M D A PROFESSIONAL CORPORATION

Practice address

450 Stanyan Street
San Francisco, CA 94117-1079

Phone

(415) 789-0965

Fax

(415) 435-2293

NPI assigned

Jul 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Lagios, MD

Title

Director

Phone

(415) 789-0965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1093027625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BENTON COURT",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949201102",
            "telephone_number": "415-789-0965",
            "fax_number": "415-435-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-789-0965",
            "fax_number": "415-435-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D LAGIOS M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "LAGIOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-789-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A22300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.