NPIMap

Organization Active NPI

Marshall S. Lewis, MD a Professional Corporation

  • Specialist
  • Fresno, CA
National Provider Identifier
1205260817
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G282420 Issued in CA
Legal business name
MARSHALL S. LEWIS, MD A PROFESSIONAL CORPORATION
Practice address
1332 W Herndon Ave
Fresno, CA 93711-7118
Phone
(559) 439-1145
Fax
(559) 439-1345
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Mrs. Diana A Galvan, RMA
Title
Credentialer
Phone
(661) 861-0011

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30003 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC9103 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G282420 CA Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA15629 CA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MC2665214 CA

Addresses

Primary practice location

1332 W Herndon Ave
Fresno, CA 93711-7118

Mailing address

2619 F St
Bakersfield, CA 93301-1815
Phone (661) 861-0011

National Provider Directory

National Provider Directory
Tax ID family
Marshall S Lewis a Professional Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1205260817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 F ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011815",
            "telephone_number": "661-861-0011",
            "fax_number": "661-861-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "559-439-1145",
            "fax_number": "559-439-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL S. LEWIS, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "661-861-0011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30003",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9103",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G282420",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15629",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "MC2665214",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 30, 2013; 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.