Individual provider Active NPI

Lerzan Tunali Madenci, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1659504181
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A108763 Issued in CA
Practice address
1400 East Church Street
Santa Maria, CA 93454-5906
Phone
(805) 878-6134
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108763 CA Primary

Addresses

Primary practice location

1400 East Church Street
Santa Maria, CA 93454-5906

Mailing address

1230 Jackie LN
Santa Maria, CA 93454-5921
Phone (330) 519-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091226000014 CA Practitioner - Internal Medicine 6709926629 Reassigns benefits to 2 organizations
I20180109003343 AZ Practitioner - Internal Medicine 6709926629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Inpatient Medicine Associates LLCGroup PAC ID 4183688344, 70 clinicians

Practice addresses (Care Compare)

7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Arizona Inpatient Medicine Associates LLC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jan 28, 2013 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jan 28, 2013 Accepting new patients

Locations

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434

4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

2801 Santa Maria Way
Santa Maria, CA 93455
Phone (805) 934-5400

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1659504181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JACKIE LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545921",
            "telephone_number": "330-519-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EAST CHURCH STREET",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-878-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNALI MADENCI",
        "first_name": "LERZAN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.