NPIMap

Organization Active NPI

Lakowsky & Batlin Medical Corp

  • Primary Care Clinic/Center
  • Burlingame, CA
National Provider Identifier
1407306137
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A86437 Issued in CA
Legal business name
LAKOWSKY & BATLIN MEDICAL CORP
Doing business as
Premier Medical Care
Practice address
1860 El Camino Real
Ste 321
Burlingame, CA 94010-3127
Phone
(650) 552-8180
Fax
(650) 552-8199
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Dr. Alexander Lakowsky, M.D.NPI 1902824550
Title
Ceo
Phone
(650) 552-8180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A86437 CA Primary
Primary Care Clinic/Center 261QP2300X A87310 CA

Addresses

Primary practice location

1860 El Camino Real
Ste 321
Burlingame, CA 94010-3127

Mailing address

1860 El Camino Real
Ste 321
Burlingame, CA 94010-3127
Phone (650) 552-8180

Other names 1

  • Premier Medical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221002217 CA Part B Supplier - Clinic/Group Practice 9638450190 Receives reassigned benefits from 2 practitioners
Practice locations: Burlingame, CA

National Provider Directory

National Provider Directory

Locations

1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1407306137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "STE 321",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-552-8180",
            "fax_number": "650-552-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "STE 321",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-552-8180",
            "fax_number": "650-552-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKOWSKY & BATLIN MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "LAKOWSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-552-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A86437",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A87310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.