Active NPI
Bernard J. Lichtenstein, MD, Apc
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1205844487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A37396
- Legal business name
- BERNARD J. LICHTENSTEIN, MD, APC
- Practice address
- 7930 Frost St
Suite103
San Diego, CA 92123-2737 - Phone
- (858) 467-0500
- Fax
- (866) 716-9201
- NPI assigned
- Aug 4, 2006
- 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
- Bernard J. Lichtenstein, M.D.
- Title
- President/Medical Director
- Phone
- (858) 467-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A37396 | CA | Primary |
Addresses
Primary practice location
7930 Frost St
Suite103
San Diego, CA 92123-2737
Mailing address
7930 Frost St
Suite103
San Diego, CA 92123-2737
Phone (858) 467-0500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205844487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 FROST ST",
"address_2": "SUITE103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232737",
"telephone_number": "858-467-0500",
"fax_number": "866-716-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 FROST ST",
"address_2": "SUITE103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232737",
"telephone_number": "858-467-0500",
"fax_number": "866-716-9201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNARD J. LICHTENSTEIN, MD, APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LICHTENSTEIN",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "858-467-0500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A37396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.