NPIMap

Organization Active NPI

Lynn E. Spitler, MD, a Medical Corporation

Doing business as Northern California Melanoma Center

  • Allergy & Immunology (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1205964285
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
C26446 Issued in CA
Legal business name
LYNN E. SPITLER, MD, A MEDICAL CORPORATION
Doing business as
Northern California Melanoma Center
Practice address
450 Stanyan Street
St. Mary's Medical Center, Northern California Melanoma
San Francisco, CA 94117-2725
Phone
(415) 750-5660
Fax
(415) 750-4860
NPI assigned
Mar 1, 2007
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Lynn E. Spitler, MDNPI 1588867535
Title
President
Phone
(415) 750-4020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X C26446 CA Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X C26446 CA

Addresses

Primary practice location

450 Stanyan Street
St. Mary's Medical Center, Northern California Melanoma
San Francisco, CA 94117-2725

Mailing address

1895 Mountain View Drive
Tiburon, CA 94920-1809
Phone (415) 750-5660

Other names 1

  • Northern California Melanoma Center Doing business as

National Provider Directory

National Provider Directory

Locations

2250 Hayes St
Ste 111
San Francisco, CA 94117

450 Stanyan St
Fl E
San Francisco, CA 94117

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1205964285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOUNTAIN VIEW DRIVE",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949201809",
            "telephone_number": "415-750-5660",
            "fax_number": "415-750-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN STREET",
            "address_2": "ST. MARY'S MEDICAL CENTER, NORTHERN CALIFORNIA MELANOMA",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172725",
            "telephone_number": "415-750-5660",
            "fax_number": "415-750-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN E. SPITLER, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "SPITLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-750-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "C26446",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "C26446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern California Melanoma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.