Nicol Lippman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A62947 Issued in CA

Practice address

1094 W. 7TH St
San Pedro, CA 90731

Phone

(310) 832-3331

Fax

(310) 832-1741

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Nicol Lippman, MD, Inc.

  • Internal Medicine Physician
  • San Pedro, CA
  • NPI 1528148897
  Authorized official Same address or phone
• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Coastal Center for Obesity

  • Surgery Physician
  • San Pedro, CA
  • NPI 1326109604
  NPD (past)
• Max Franklin Lebow, a Medical Corporation

  dba Emergency Physician Services Medical Assoicates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1043255813
  NPD (past)
• Providence Medical Institute

  dba Providence Little Company of Mary Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1154363786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 W. 7TH STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-832-3331",
            "fax_number": "310-832-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 W. 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-832-3331",
            "fax_number": "310-832-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "NICOL",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Chow Lin, M.D.
• Roberto Lind Jr.
• Lindholm Therapy Services Inc
• Linda Ann Lindholm, RPT
• Gage Zachary Lindsay, CADC I
• Lisa Humphreys MD MPH, Physician, Inc
• Erin Marie Lisko, PA-C
• Little Company of Mary - San Pedro (Little Company of Mary Pavilion San - Pedro)
• Little Sisters of the Poor
• Michelle Litton, M.S., CCC-SLP

• Internal Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.