Active NPI
Dana Marie Lewis, D.O., Inc
- General Practice Physician
- Grass Valley, CA
National Provider Identifier
1124124250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A7088
- Legal business name
- DANA MARIE LEWIS, D.O., INC
- Practice address
- 10052 Alta Sierra Dr
Suite a
Grass Valley, CA 95949-6886 - Phone
- (530) 477-9100
- Fax
- (530) 477-2033
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Marie Lewis, D.O.
- Title
- Business Owner
- Phone
- (530) 477-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A7088 | CA | Primary |
Addresses
Primary practice location
10052 Alta Sierra Dr
Suite a
Grass Valley, CA 95949-6886
Mailing address
10052 Alta Sierra Dr
Suite a
Grass Valley, CA 95949-6886
Phone (530) 477-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX70880 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
10052 Alta Sierra Dr
Ste A
Grass Valley, CA 95949
Phone (530) 477-9100
150 Catherine Ln
Ste I
Grass Valley, CA 95945
Phone (530) 273-7400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Grass Valley, CA
- NPI 1063431179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124124250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10052 ALTA SIERRA DR",
"address_2": "SUITE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959496886",
"telephone_number": "530-477-9100",
"fax_number": "530-477-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10052 ALTA SIERRA DR",
"address_2": "SUITE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959496886",
"telephone_number": "530-477-9100",
"fax_number": "530-477-2033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANA MARIE LEWIS, D.O., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "530-477-9100",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "20A7088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX70880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.