Organization Active NPI

Elizabeth V. Lener, M.D., Inc.

Doing business as The Dermatology Center at Ladera

  • Dermatology Physician
  • Ladera Ranch, CA
National Provider Identifier
1407989148
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ELIZABETH V. LENER, M.D., INC.
Doing business as
The Dermatology Center at Ladera
Practice address
600 Corporate Dr Ste 240
Ladera Ranch, CA 92694-2111
Phone
(949) 364-8411
Fax
(949) 364-8511
NPI assigned
Mar 13, 2007
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Elizabeth Veronika Lener, M.D.NPI 1912998196
Title
President
Phone
(949) 364-8411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

600 Corporate Dr Ste 240
Ladera Ranch, CA 92694-2111

Mailing address

600 Corporate Dr Ste 240
Ladera Ranch, CA 92694-2111
Phone (949) 364-8411

Other names 1

  • The Dermatology Center at Ladera Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000500 CA Part B Supplier - Clinic/Group Practice 7618933516 Receives reassigned benefits from 4 practitioners
Practice locations: Ladera Ranch, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1036647Dermatology Center at Ladera Inc600 Corporate Dr, Ste 240, Ladera Ranch, CA 92694ComplianceOct 19, 2027

National Provider Directory

National Provider Directory

Locations

600 Corporate Dr
Ste 230
Ladera Ranch, CA 92694
Phone (949) 364-8411

600 Corporate Dr
Ste 240
Ladera Ranch, CA 92694
Phone (949) 364-8411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1407989148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR STE 240",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942111",
            "telephone_number": "949-364-8411",
            "fax_number": "949-364-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR STE 240",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942111",
            "telephone_number": "949-364-8411",
            "fax_number": "949-364-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH V. LENER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "LENER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VERONIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dermatology Center at Ladera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.