Organization Active NPI

Lesley Plotke, MD, Inc

  • Dermatology Physician
  • Oakland, CA
National Provider Identifier
1427423268
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A124576 Issued in CA
Legal business name
LESLEY PLOTKE, MD, INC
Practice address
3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone
(510) 452-2811
Fax
(510) 452-2152
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Lesley Plotke, MDNPI 1629207493
Title
President
Phone
(510) 452-2811

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 A124576 CA Primary

Addresses

Primary practice location

3300 Webster St Ste 509
Oakland, CA 94609-3149

Mailing address

3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone (510) 452-2811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160511001921 CA Part B Supplier - Clinic/Group Practice 8224334933 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, CA; Oakland, CA

National Provider Directory

National Provider Directory

Locations

3675 Mt Diablo Blvd
Ste 320
Lafayette, CA 94549
Phone (510) 452-0330

Practitioners & affiliated clinicians

Practitioners 4

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": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1427423268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-452-2811",
            "fax_number": "510-452-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-452-2811",
            "fax_number": "510-452-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLEY PLOTKE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "PLOTKE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-452-2811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A124576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.