Active NPI
LC Loggins, DPM
- Orthopaedic Foot and Ankle Surgery Physician
- Oakland, CA
National Provider Identifier
1508333758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- E3506
- Practice address
- 4041 Altamont Ave
Oakland, CA 94605-2603 - Phone
- (510) 646-6666
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- 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 Foot and Ankle Surgery Physician | 207XX0004X | E3506 | CA | Primary |
Addresses
Primary practice location
4041 Altamont Ave
Oakland, CA 94605-2603
Mailing address
4041 Altamont Ave
Oakland, CA 94605-2603
Phone (510) 646-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E35061 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3506 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1508333758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 ALTAMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052603",
"telephone_number": "510-646-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 ALTAMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052603",
"telephone_number": "510-646-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGGINS",
"first_name": "LC",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "E3506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E35061",
"state": "CA"
}
],
"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 Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.