Alexis Grace Lane, MD FACS

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G81601 Issued in CA

Practice address

8055 Valencia St
Aptos, CA 95003-3954

Phone

(831) 688-8333

Fax

(831) 688-8272

NPI assigned

Jan 26, 2006

Last updated

Feb 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexis Lane, M.D., Inc.

  • Facial Plastic Surgery Physician
  • Aptos, CA
  • NPI 1194105973
  Authorized official Same address or phone
• Santa Cruz Medical Clinic, Inc

  dba Santa Cruz Medical Clinic

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1588775308
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1700856085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 VALENCIA ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033954",
            "telephone_number": "831-688-8333",
            "fax_number": "831-688-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 VALENCIA ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033954",
            "telephone_number": "831-688-8333",
            "fax_number": "831-688-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ALEXIS",
        "middle_name": "GRACE",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G81601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G816010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura May Jenkins Kurek
• Jessica Lague, OTR/L
• Kalle Mikael Laitinen, BCBA
• Richard Edward Laitinen, PH.D.
• Rachel Landry, MA, CCC-SLP
• Tiffany R Lansidel, M.S., CCC-SLP
• Karen Lansing, LMFT, BCETS
• Lea Stone Lasman, M.A. CCC-SLP
• John Marcus Lay, D.O.
• Daniel Ngoc Le

• Otolaryngology Physician in Aptos, CA
• Providers in Aptos, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.