Active NPI
Leonard J Lovalvo, MD
- Colon & Rectal Surgery Physician
- Fresno, CA
National Provider Identifier
1154401628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- A20687
- Practice address
- 7780 N Fresno St
#101
Fresno, CA 93720 - Phone
- (559) 438-7780
- Fax
- (559) 438-7946
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | A20687 | CA | Primary |
Addresses
Primary practice location
7780 N Fresno St
#101
Fresno, CA 93720
Mailing address
7780 N Fresno St
#101
Fresno, CA 93720
Phone (559) 438-7780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A206870 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20687 | CA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154401628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7780 N FRESNO ST",
"address_2": "#101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-438-7780",
"fax_number": "559-438-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7780 N FRESNO ST",
"address_2": "#101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-438-7780",
"fax_number": "559-438-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVALVO",
"first_name": "LEONARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "A20687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A206870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.