Active NPI
James Ernest Lessenger, MD
- Family Medicine Physician
- Vallejo, CA
National Provider Identifier
1427206796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34856
- Practice address
- 243 Georgia St
Suite B
Vallejo, CA 94590-5905 - Phone
- (707) 556-8100
- Fax
- (707) 556-8107
- NPI assigned
- Aug 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A34856 | CA | Primary |
Addresses
Primary practice location
243 Georgia St
Suite B
Vallejo, CA 94590-5905
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70543G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130828000078 | CA | Order and Referring Only - Family Practice | 9537302203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Past | Accepting new patients | |
| La Clinica de la Raza Inc | Past | Accepting new patients |
Interoperability endpoints
- james.lessenger.1@14789.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba La Clinica Dental at Children's Hospital Oakland
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
-
dba La Clinica Vallejo
- Federally Qualified Health Center (FQHC)
- Vallejo, CA
- NPI 1992811392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1427206796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946232210",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 GEORGIA ST",
"address_2": "SUITE B",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905905",
"telephone_number": "707-556-8100",
"fax_number": "707-556-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSENGER",
"first_name": "JAMES",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A34856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70543G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.