Active NPI
Kwun-Shan Lip, MD
- Family Medicine Physician
- Mountain View, CA
National Provider Identifier
1578615373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A73750
- Practice address
- 1600 Amphitheatre Pkwy BLDG 40
Mountain View, CA 94043-1351 - Phone
- (888) 201-1937
- Fax
- (650) 227-1107
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A73750 | CA | Primary |
Addresses
Primary practice location
1600 Amphitheatre Pkwy BLDG 40
Mountain View, CA 94043-1351
Mailing address
130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
Other practice location 1
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A737500 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73750 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1578615373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 AMPHITHEATRE PKWY BLDG 40",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431351",
"telephone_number": "888-201-1937",
"fax_number": "650-227-1107"
}
],
"practiceLocations": [
{
"address_1": "6600 Bruceville Rd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958234671",
"country_code": "US",
"telephone_number": "916-688-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIP",
"first_name": "KWUN-SHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A73750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A737500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.