Active NPI
Lester Eugene Love, M.D.
- Psychiatry Physician
- Visalia, CA
National Provider Identifier
1366687469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A70095
- Practice address
- 520 E Tulare Ave
Visalia Adult Integrated Clinic
Visalia, CA 93292-3629 - Phone
- (559) 623-0900
- Fax
- (559) 733-0349
- NPI assigned
- Dec 14, 2006
- Reactivated
- Dec 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | A70095 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | A70095 | CA | |
| Family Medicine Physician | 207Q00000X | A70095 | CA | |
| Psychiatry Physician | 2084P0800X | A70095 | CA | Primary |
Addresses
Primary practice location
520 E Tulare Ave
Visalia Adult Integrated Clinic
Visalia, CA 93292-3629
Mailing address
520 E Tulare Ave
Visalia Adult Integrated Clinic
Visalia, CA 93292-3629
Phone (559) 623-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70095 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1366687469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"address_2": "VISALIA ADULT INTEGRATED CLINIC",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0900",
"fax_number": "559-733-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"address_2": "VISALIA ADULT INTEGRATED CLINIC",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0900",
"fax_number": "559-733-0349"
}
],
"practiceLocations": [],
"basic": {
"replacement_npi": "1366687469",
"last_name": "LOVE",
"first_name": "LESTER",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2016-11-10",
"deactivation_date": "2008-11-20",
"reactivation_date": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CA",
"license": "A70095",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A70095",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A70095",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A70095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.