Individual provider Active NPI

Robert Alan Lanflisi, MD

  • Surgery Physician
  • Fairfield, CA
National Provider Identifier
1104811942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G711100 Issued in CA
Practice address
1245 Travis Blvd
#F
Fairfield, CA 94533-4898
Phone
(707) 426-4951
Fax
(707) 426-4953
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G711100 CA Primary

Addresses

Primary practice location

1245 Travis Blvd
#F
Fairfield, CA 94533-4898

Mailing address

1245 Travis Blvd
#F
Fairfield, CA 94533-4898
Phone (707) 426-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000865 CA Practitioner - General Surgery 7810170552 Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G711100CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter West Bay Medical Foundation Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rlanflisi35534@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104811942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 TRAVIS BLVD",
            "address_2": "#F",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334898",
            "telephone_number": "707-426-4951",
            "fax_number": "707-426-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 TRAVIS BLVD",
            "address_2": "#F",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334898",
            "telephone_number": "707-426-4951",
            "fax_number": "707-426-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFLISI",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G711100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.