Jack Lane, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6726 Issued in CA

Practice address

937 Franklin Ave
Lemoore, CA 93246-0001

Phone

(559) 998-4262

NPI assigned

Mar 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Willows, CA
  • NPI 1336187178
  Medicare reassignment NPD
• Newstart Medical Group Inc

  dba Blue Stone Health and Wellness

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698
  Medicare reassignment NPD
• Orchard Hospital

  • Critical Access Hospital
  • Gridley, CA
  • NPI 1477522019
  Medicare reassignment NPD
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Medicare reassignment NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  dba Glenn Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD
• Glenn Medical Center, LLC

  dba Family Care Center

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1356388961
  NPD
• Orchard Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gridley, CA
  • NPI 1295882819
  NPD
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Lake Isabella, CA
  • NPI 1053360156
  NPD (past)
• Central California Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1619343050
  NPD (past)
• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528037793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 WHEELER CT",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932740962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932460001",
            "telephone_number": "559-998-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JACK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngsam Kim, LAC
• Tiana H Kuntz, MAT, ATC, CSCS
• Sean Vincent Catipay Lafiguera
• April Marlene Lago-Jimenez
• Lags Spine and Sportscare Medical Centers, Inc.
• Sharon Elkins Lapuebla
• Ashley Leann Lawrence, AMFT
• Elida M. Ledesma
• Sarah Anne Ledford, ANP
• Caitlin Choi Lee, D.O.

• Family Medicine Physician in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.