Individual provider Active NPI

Patricia L Lenihan, M.D.

  • Family Medicine Physician
  • Novato, CA
National Provider Identifier
1700829926
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A90029 Issued in CA
Practice address
300 Professional Center Dr Ste 326
Novato, CA 94947-4334
Phone
(415) 939-0390
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A90029 CA Primary

Addresses

Primary practice location

300 Professional Center Dr Ste 326
Novato, CA 94947-4334

Mailing address

300 Professional Center Dr Ste 326
Novato, CA 94947-4334
Phone (415) 939-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001450 CA Practitioner - Emergency Medicine 6800827676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90029CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett V. Curtis, MD, a Professional Corporation, Inc. Single Specialty CurrentSince Jul 3, 2019 Accepting new patients
Quantum Healthcare Medical Associates Inc. Single Specialty PastSince Jun 1, 2009 Accepting new patients
Clovis Urgent Care Medical Center Past Accepting new patients

Locations

7428 Redwood Blvd
Ste 100
Novato, CA 94945
Phone (415) 895-5216

411 3rd St
San Rafael, CA 94901
Phone (415) 854-7159

Interoperability endpoints

  • Direct secure messaging: patricia.huertas@31195289485316.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1700829926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL CENTER DR STE 326",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474334",
            "telephone_number": "415-939-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL CENTER DR STE 326",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474334",
            "telephone_number": "415-939-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIHAN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A90029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.