Organization Active NPI

Livermore Family Medicine & Geriatrics, Inc.

  • Family Medicine Physician
  • Livermore, CA
National Provider Identifier
1134525140
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101095 Issued in CA
Legal business name
LIVERMORE FAMILY MEDICINE & GERIATRICS, INC.
Practice address
1050 Murrieta Blvd
Livermore, CA 94550-4111
Phone
(925) 344-4450
Fax
(925) 344-4451
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Authorized official

Name
Dr. Sanie Zehra, MD
Title
President
Phone
(925) 344-4450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A101095 CA Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X A101095 CA

Addresses

Primary practice location

1050 Murrieta Blvd
Livermore, CA 94550-4111

Mailing address

PO Box 1931
Pleasanton, CA 94566-0193
Phone (925) 344-4450

Other identifiers 1

IdentifierTypeStateIssuer
1306012141OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1134525140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1931",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660193",
            "telephone_number": "925-344-4450",
            "fax_number": "925-344-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "925-344-4450",
            "fax_number": "925-344-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE FAMILY MEDICINE & GERIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "ZEHRA",
        "authorized_official_first_name": "SANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-344-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101095",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A101095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306012141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.