Sara Lackner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C52875 Issued in CA

Practice address

4451 Merlin Way
Soquel, CA 95073-2340

Phone

(831) 462-6206

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sara Lackner-Foa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1225437262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 MERLIN WAY",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732340",
            "telephone_number": "831-462-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 MERLIN WAY",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732340",
            "telephone_number": "831-462-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKNER",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LACKNER-FOA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Agata Konopka, D.D.S.
• Tiffany Jean Kostigen Mumper, LMFT
• Suhas G Kshirsagar, BAMS MD(AYU. INDIA)
• Jamie Kuratomi
• Reed Ken Kuratomi, DDS
• Judith Marie Larson, MFT
• Melody Lee
• Sharon Lee, CMT
• Susannah Lee, L.AC.
• Barbara Lehman, M.A., MFT

• Internal Medicine Physician in Soquel, CA
• Providers in Soquel, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.