Active NPI
Michael Jonathan Lieber, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Santa Monica, CA
National Provider Identifier
1619990116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- G32244
- Practice address
- 2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102 - Phone
- (310) 453-1414
- Fax
- (310) 362-8775
- NPI assigned
- Jul 25, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G32244 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | G32244 | CA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | G32244 | CA |
Addresses
Primary practice location
2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102
Mailing address
2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102
Phone (310) 453-1414
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of California, PC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of San Luis Obispo County, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1215956438
-
- Internal Medicine Physician
- Templeton, CA
- NPI 1346546363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1619990116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "STE 1190W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-453-1414",
"fax_number": "310-362-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "STE 1190W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-453-1414",
"fax_number": "310-362-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBER",
"first_name": "MICHAEL",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G32244",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G32244",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "CA",
"license": "G32244",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.