Organization Active NPI

Will H. Lane, MD, Inc

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1669791455
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G306830 Issued in CA
Legal business name
WILL H. LANE, MD, INC
Practice address
120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067
Phone
(925) 935-1880
Fax
(925) 935-2641
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Will Harley Lane, M.D
Title
President/ Sole Owner
Phone
(925) 935-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00G306830 CA Primary

Addresses

Primary practice location

120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067

Mailing address

120 La Casa Via
Ste 107
Walnut Creek, CA 94598-3067
Phone (925) 935-1880

Other identifiers 1

IdentifierTypeStateIssuer
1548244684OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1669791455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "STE 107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "925-935-1880",
            "fax_number": "925-935-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA",
            "address_2": "STE 107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "925-935-1880",
            "fax_number": "925-935-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL H. LANE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "HARLEY",
        "authorized_official_title_or_position": "PRESIDENT/ SOLE OWNER",
        "authorized_official_telephone_number": "925-935-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G306830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548244684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.