Active NPI
Ronald E. Lieberman D P M Inc
- Podiatrist
- Encinitas, CA
National Provider Identifier
1336138015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RONALD E. LIEBERMAN D P M INC
- Practice address
- 501 N El Camino Real Ste 201
Encinitas, CA 92024-1335 - Phone
- (760) 942-1890
- Fax
- (760) 472-1895
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Lieberman, DPM
- Title
- President
- Phone
- (760) 942-1890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | CA | Primary |
Addresses
Primary practice location
501 N El Camino Real Ste 201
Encinitas, CA 92024-1335
Mailing address
501 N El Camino Real Ste 201
Encinitas, CA 92024-1335
Phone (760) 942-1890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0773560001 | Other | DME |
National Provider Directory
National Provider DirectoryLocations
501 N El Camino Real
Ste 201
Encinitas, CA 92024
Phone (760) 436-8667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1336138015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N EL CAMINO REAL STE 201",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241335",
"telephone_number": "760-942-1890",
"fax_number": "760-472-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N EL CAMINO REAL STE 201",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241335",
"telephone_number": "760-942-1890",
"fax_number": "760-472-1895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD E. LIEBERMAN D P M INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-942-1890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0773560001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.