David V Lightfoot, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G57122 Issued in CA

Practice address

720 4TH St
Santa Rosa, CA 95404-4421

Phone

(707) 575-3800

Fax

(707) 528-4967

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1649260696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044421",
            "telephone_number": "707-575-3800",
            "fax_number": "707-528-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044421",
            "telephone_number": "707-575-3800",
            "fax_number": "707-528-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "DAVID",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G57122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "B003",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G571220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifeworks of Sonoma County
• Lifeworks of Sonoma County
• Lifeworks of Sonoma County
• Lifeworks of Sonoma County
• Dan R Lightfoot, M.D.
• Lighthouse for the Blind and Visually Impaired
• Erin O. Liiv, LCSW
• Christina Lile
• Olivia Liles
• Anthony E Lim, M.D.

• Ophthalmology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.