Active NPI
Rima Fay Lieben, M.D.
- General Practice Physician
- Santa Cruz, CA
National Provider Identifier
1487901591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- GFE19813
- Practice address
- 310 San Juan Ave
Santa Cruz, CA 95062-1244 - Phone
- (831) 469-4053
- Fax
- (831) 426-1808
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | GFE19813 | CA | Primary |
Addresses
Primary practice location
310 San Juan Ave
Santa Cruz, CA 95062-1244
Mailing address
310 San Juan Ave
Santa Cruz, CA 95062-1244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 14, 2015 through Dec 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE19813 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1487901591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SAN JUAN AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SAN JUAN AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621244",
"telephone_number": "831-469-4053",
"fax_number": "831-426-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBEN",
"first_name": "RIMA",
"middle_name": "FAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "GFE19813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.