Active NPI
Nancy Lynch, M.D.
- Orthopaedic Hand Surgery Physician
- San Mateo, CA
National Provider Identifier
1508161472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- G88807
- Practice address
- 210 42ND Ave
San Mateo, CA 94403-5002 - Phone
- (650) 393-5411
- NPI assigned
- Jan 24, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | G88807 | CA | Primary |
Addresses
Primary practice location
210 42ND Ave
San Mateo, CA 94403-5002
Mailing address
210 42ND Ave
San Mateo, CA 94403-5002
Phone (650) 393-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200062610 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88807 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slocum Orthopedics, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Eugene, OR
- NPI 1881694867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1508161472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 42ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944035002",
"telephone_number": "650-393-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 42ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944035002",
"telephone_number": "650-393-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "G88807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200062610",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
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- M.Jamali DMD, P.Dokhanchi DDS, Apc
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.