Lowell Gordon Nelson, M.D., PH.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G35836 Issued in CA

Practice address

1841 Avenida San Lorenzo
Fullerton, CA 92833-1821

Phone

(714) 743-6077

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1265502215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 AVENIDA SAN LORENZO",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331821",
            "telephone_number": "714-743-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 AVENIDA SAN LORENZO",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331821",
            "telephone_number": "714-743-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LOWELL",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G35836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Nelson
• Donald Nelson
• Houston Curt Nelson
• Jacqueline Ann Nelson, DDS
• Jane Nelson, OTR
• Paul Ernest Nelson, D.D.S.
• Rebecca Lynn Nelson, B.S
• Robert Drummond Nelson, DDS
• Thomas Carter Nelson, DDS
• Jaime Neri Jr., PA-C

• Neurology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.