Active NPI
Lomba MD PA
- Anatomic Pathology & Clinical Pathology Physician
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LOMBA MD PA
- Practice address
- 1500 Lee Blvd
Lehigh Acres, FL 33936-4835 - Phone
- (239) 368-4439
- NPI assigned
- Mar 19, 2009
- Last updated
- Dec 12, 2011
- 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
- Fernando L Lomba, MD
- Title
- President
- Phone
- (941) 766-4267
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Mailing address
PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274181402 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000101 | FL | Part B Supplier - Clinic/Group Practice | 5597742437 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Davenport, FL; Lake Wales, FL; Port Charlotte, FL; Punta Gorda, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Charlotte, FL
- NPI 1295764967
O20040630000101
National Provider Directory
National Provider DirectoryLocations
420 Tamiami Trl S
Venice, FL 34285
Phone (941) 483-7150
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Charlotte, FL
- NPI 1043282049
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Charlotte, FL
- NPI 1538131206
-
- Anatomic Pathology & Clinical Pathology Physician
- Crystal River, FL
- NPI 1568496636
-
- Cytopathology Physician
- Port Charlotte, FL
- NPI 1285956003
-
- Anatomic Pathology & Clinical Pathology Physician
- Davenport, FL
- NPI 1164788212
-
- Anatomic Pathology & Clinical Pathology Physician
- Westlake, OH
- NPI 1609846484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1184865206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328144333",
"telephone_number": "407-422-9831",
"fax_number": "407-648-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364835",
"telephone_number": "239-368-4439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOMBA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "LOMBA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-766-4267",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274181402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.