NPIMap

Individual provider Active NPI

Marc Lieberman, MD

  • Rheumatology Physician
  • Salinas, CA
National Provider Identifier
1528159092
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
C33154 Issued in CA
Practice address
224 San Jose St
Salinas, CA 93901-3931
Phone
(831) 422-6011
Fax
(831) 422-6569
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X C33154 CA Primary

Addresses

Primary practice location

224 San Jose St
Salinas, CA 93901-3931

Mailing address

224 San Jose St
Salinas, CA 93901-3931
Phone (831) 422-6011

Other identifiers 1

IdentifierTypeStateIssuer
00C331540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000006 CA Practitioner - Rheumatology 8628114048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Tennessee, HSC, College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 San Jose St
Salinas, CA 93901-3931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C33154CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Lieberman MD a Professional Corporation Rheumatology CurrentSince Nov 1, 1978 Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients
Neville V. Udwadia, M.D., Inc. Past Accepting new patients

Locations

576 Hartnell St
Ste 200
Monterey, CA 93940
Phone (831) 324-0176

224 San Jose St
Ste 2
Salinas, CA 93901
Phone (831) 422-6011

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1528159092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-422-6011",
            "fax_number": "831-422-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-422-6011",
            "fax_number": "831-422-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C33154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C331540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.