Lemi Medical Center Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A77565 Issued in CA

Legal business name

LEMI MEDICAL CENTER PROFESSIONAL CORPORATION

Practice address

1838 El Camino Real
Suite 100
Burlingame, CA 94010-3126

Phone

(650) 697-0361

Fax

(650) 697-8752

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nani Kanen, M.D.NPI 1548358435

Title

Owner

Phone

(650) 697-0361

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NANI KHANANASHVILI DBA LEMI MEDICAL CENTER Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Nani Kanen

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1548358435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1417045238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "650-697-0361",
            "fax_number": "650-697-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "650-697-0361",
            "fax_number": "650-697-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMI MEDICAL CENTER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "NANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-697-0361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE CORPORATE ID",
            "identifier": "C2865505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANI KHANANASHVILI DBA LEMI MEDICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tammy Lee
• Victor S Lee, D.D.S., M.S.D.
• Leena Joshi MD
• Mary Kathryn Lefevre, LMFT
• Shareen E Leland, M.S, MFT
• Carolee Margaret Lenahan, MFT
• Jerome A Leonard
• Sarah Lerma
• Tonia Marie Lessani, MD
• Bobby Leung, D.P.M.

• Internal Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.