Edmonds & Lee Healthcare Partners BL Inlow, DPM

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G55954 Issued in CA

Legal business name

EDMONDS & LEE HEALTHCARE PARTNERS BL INLOW, DPM

Practice address

5 Harris CT BLDG T
103
Monterey, CA 93940-5750

Phone

(831) 375-8880

NPI assigned

Sep 28, 2007

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Tri - State Medical Group Inc

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2000/brand/1/csg/22/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy Burns Lee, MD

  • Family Medicine Physician
  • Monterey, CA
  • NPI 1306814256
  NPD

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1538356928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT BLDG T",
            "address_2": "103",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS & LEE HEALTHCARE PARTNERS BL INLOW, DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G55954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Dwelle, MD
• Todd A Dwelle, MD
• Christian Echeverry
• Julian Andres Echeverry
• Charles Eckstein, M.D.
• Jay S Edmonds Jr., MD
• Ahmad Edris, M.D.
• Edward L Stoddard DDS Inc
• Edward W Kwiatkowski DDS Mary Anne Marschik Nawae Osman DDS Profession
• Ian Edwards, CMP

• Non-Pharmacy Dispensing Site in Monterey, CA
• Providers in Monterey, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.