Organization Active NPI

Andrew B Lipton MD a Professional Corporation

  • Gastroenterology Physician
  • Mountain View, CA
National Provider Identifier
1588814313
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G24252 Issued in CA
Legal business name
ANDREW B LIPTON MD A PROFESSIONAL CORPORATION
Practice address
2204 Grant Rd
Suite 104
Mountain View, CA 94040-3855
Phone
(650) 964-7700
Fax
(650) 964-3301
NPI assigned
Sep 29, 2008
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Andrew B Lipton, MDNPI 1174594394
Title
Owner
Phone
(650) 964-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G24252 CA Primary

Addresses

Primary practice location

2204 Grant Rd
Suite 104
Mountain View, CA 94040-3855

Mailing address

2204 Grant Rd
Suite 104
Mountain View, CA 94040-3855
Phone (650) 964-7700

Other identifiers 1

IdentifierTypeStateIssuer
1174594394OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1588814313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-964-7700",
            "fax_number": "650-964-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-964-7700",
            "fax_number": "650-964-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW B LIPTON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-964-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G24252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174594394",
            "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 Feb 10, 2010; 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.