Active NPI
Alexander Lister, DPM
- Foot & Ankle Surgery Podiatrist
- Carmichael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- EL6850
- Practice address
- 5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590 - Phone
- (916) 459-4398
- NPI assigned
- Apr 5, 2019
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL6850 | CA | Primary |
Addresses
Primary practice location
5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590
Mailing address
5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590
Phone (916) 705-4135
Other practice location 1
4097 Solaire Dr
Roseville, CA 95747-8760
Phone (916) 705-4135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western University of Health Sciences College of Dental Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
Hospital & facility affiliations
- Sutter Roseville Medical Center
- Sutter Medical Center, Sacramento
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 97 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 210 |
| Removal or shaving of skin growth | 136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL6850 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5605 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
8170 Laguna Blvd
Ste 105
Elk Grove, CA 95758
Phone (916) 684-7505
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- alister557233@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1649732769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 MANZANITA AVE STE 100",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080590",
"telephone_number": "916-705-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 MANZANITA AVE STE 100",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080590",
"telephone_number": "916-459-4398"
}
],
"practiceLocations": [
{
"address_1": "4097 SOLAIRE DR",
"address_purpose": "LOCATION",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957478760",
"country_code": "US",
"telephone_number": "916-705-4135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISTER",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL6850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.