Individual provider Active NPI

Jean Echols Lighthall, M.D.

  • Internal Medicine Physician
  • Mountain View, CA
National Provider Identifier
1316128531
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G082032 Issued in CA
Practice address
632 Cornelia CT
Mountain View, CA 94040-3768
Phone
(650) 938-3593
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G082032 CA Primary

Addresses

Primary practice location

632 Cornelia CT
Mountain View, CA 94040-3768

Mailing address

632 Cornelia CT
Mountain View, CA 94040-3768
Phone (650) 938-3593

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
G082032CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1316128531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CORNELIA CT",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403768",
            "telephone_number": "650-938-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 CORNELIA CT",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403768",
            "telephone_number": "650-938-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTHALL",
        "first_name": "JEAN",
        "middle_name": "ECHOLS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G082032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.