Individual provider Active NPI

Sol Lizerbram, D.O.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1659499887
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4207 Issued in CA
Practice address
12555 High Bluff Dr Ste 100
San Diego, CA 92130-3005
Phone
(858) 922-8660
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4207 CA Primary

Addresses

Primary practice location

12555 High Bluff Dr Ste 100
San Diego, CA 92130-3005

Mailing address

14170 Rancho Vista BND
San Diego, CA 92130-5250
Phone (858) 922-8660

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A4207CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: sollizerbram@direct.meditouchehr.com

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1659499887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14170 RANCHO VISTA BND",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305250",
            "telephone_number": "858-922-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 HIGH BLUFF DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303005",
            "telephone_number": "858-922-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZERBRAM",
        "first_name": "SOL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.