Active NPI
Lindsay Maitland, MD
- Pediatrics Physician
- Salinas, CA
National Provider Identifier
1407968720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2009-00189
- Practice address
- 260 San Jose St
Salinas, CA 93901-3901 - Phone
- (831) 757-8124
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2009-00189 | NC | Primary |
Addresses
Primary practice location
260 San Jose St
Salinas, CA 93901-3901
Mailing address
4907 Dewars Cir
Wilmington, NC 28409-3289
Phone (910) 792-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913133 | Medicaid | NC |
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 |
|---|---|---|---|
| 2009-00189 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1407968720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4907 DEWARS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093289",
"telephone_number": "910-792-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SAN JOSE ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013901",
"telephone_number": "831-757-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAITLAND",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-00189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913133",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.