Lonnie Tanenberg

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1516 San Anselmo Ave
Apt B
San Anselmo, CA 94960-1863

Phone

(415) 685-4493

NPI assigned

Apr 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1104213602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 SAN ANSELMO AVE",
            "address_2": "APT B",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601863",
            "telephone_number": "415-685-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SAN ANSELMO AVE",
            "address_2": "APT B",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601863",
            "telephone_number": "415-685-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBERG",
        "first_name": "LONNIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peijie Sun, PHARMD
• Sunglass City Inc (Wink Optics)
• Kathryn Suslov, MD
• Jeffrey Thomas Szilagyi, CA L.AC.
• Beth Cooper Tabakin, PH.D.
• Brook Tarrant
• Steven William Thompson, MPT, OCS, CSCS
• Joyce Elaine Thomson, MFT
• Suzanne Pero Trainor, NBCHWC
• Myan Tran

• Athletic Trainer in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.