Marc Lieberman MD a Professional Corporation

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

C33154 Issued in CA

Legal business name

MARC LIEBERMAN MD A PROFESSIONAL CORPORATION

Practice address

224 San Jose St
2
Salinas, CA 93901-3931

Phone

(831) 422-6011

Fax

(831) 422-6569

NPI assigned

Sep 27, 2007

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Lieberman, MDNPI 1528159092

Title

Owner/President

Phone

(831) 422-6011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Lieberman, MD

  • Rheumatology Physician
  • Salinas, CA
  • NPI 1528159092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1700073301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST",
            "address_2": "2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-422-6011",
            "fax_number": "831-422-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST",
            "address_2": "2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-422-6011",
            "fax_number": "831-422-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC LIEBERMAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "831-422-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C33154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C331540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Robert Manzi, DPT
• Ines Manzo
• Eloe Maravilla
• Mario Maravilla
• Mary Elizabeth Marble, NP-C
• Paul Marchand, M.D.
• Rosa E Marchebout
• Joseph James Marchionna, O.D.
• Eduardo Jose Marcus, PA
• Connor Jay Marden

• Rheumatology Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.