Active NPI
Edward H Lipson, M.D.
- Pediatrics Physician
- Capitola, CA
National Provider Identifier
1669798229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G39336
- Practice address
- 4145 Clares St
Suite a
Capitola, CA 95010-2053 - Phone
- (510) 334-8234
- Fax
- (831) 476-2677
- NPI assigned
- Apr 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G39336 | CA | Primary |
Addresses
Primary practice location
4145 Clares St
Suite a
Capitola, CA 95010-2053
Mailing address
4145 Clares St
Suite a
Capitola, CA 95010-2053
Phone (510) 334-8234
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1669798229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 CLARES ST",
"address_2": "SUITE A",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102053",
"telephone_number": "510-334-8234",
"fax_number": "831-476-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 CLARES ST",
"address_2": "SUITE A",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102053",
"telephone_number": "510-334-8234",
"fax_number": "831-476-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSON",
"first_name": "EDWARD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G39336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.