Individual provider Active NPI

Elliott B Lavey, M.D.

  • Specialist
  • Danville, CA
National Provider Identifier
1275639486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G36751 Issued in CA
Practice address
913 San Ramon Valley Blvd
Suite 288
Danville, CA 94526-4031
Phone
(925) 820-3633
Fax
(925) 820-3655
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G36751 CA Primary

Addresses

Primary practice location

913 San Ramon Valley Blvd
Suite 288
Danville, CA 94526-4031

Mailing address

913 San Ramon Valley Blvd
Suite 288
Danville, CA 94526-4031
Phone (925) 820-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36751CAMDChiropractor
G36751CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275639486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 288",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264031",
            "telephone_number": "925-820-3633",
            "fax_number": "925-820-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 288",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264031",
            "telephone_number": "925-820-3633",
            "fax_number": "925-820-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVEY",
        "first_name": "ELLIOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.