Active NPI
Northlake Internal Medicine
- Internal Medicine Physician
- Lakeport, CA
National Provider Identifier
1447469457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ZZZ18509Z
- Legal business name
- NORTHLAKE INTERNAL MEDICINE
- Practice address
- 5150 Hill Rd E
Suite B
Lakeport, CA 95453-5100 - Phone
- (707) 263-7082
- Fax
- (707) 263-0816
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Schweifler, M.D.
- Title
- Owner
- Phone
- (707) 263-7082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ZZZ18509Z | CA | Primary |
Addresses
Primary practice location
5150 Hill Rd E
Suite B
Lakeport, CA 95453-5100
Mailing address
5150 Hill Rd E
Suite B
Lakeport, CA 95453-5100
Phone (707) 263-7082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GROO88800 | Medicaid | CA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/3174/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Altos, CA
- NPI 1376616706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447469457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 HILL RD E",
"address_2": "SUITE B",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535100",
"telephone_number": "707-263-7082",
"fax_number": "707-263-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 HILL RD E",
"address_2": "SUITE B",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535100",
"telephone_number": "707-263-7082",
"fax_number": "707-263-0816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLAKE INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHWEIFLER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-263-7082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "ZZZ18509Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GROO88800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.