Organization Active NPI

Michael E. Lieppman, M.D., Inc.

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1740479641
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G032245 Issued in CA
Legal business name
MICHAEL E. LIEPPMAN, M.D., INC.
Practice address
1760 Termino Ave
Suite 107
Long Beach, CA 90804-2105
Phone
(562) 597-5511
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. Michael E. Lieppman, M.D.NPI 1265531172
Title
Ophthalmologist
Phone
(562) 597-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G032245 CA Primary

Addresses

Primary practice location

1760 Termino Ave
Suite 107
Long Beach, CA 90804-2105

Mailing address

1760 Termino Ave
Suite 107
Long Beach, CA 90804-2105
Phone (562) 597-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000764 CA Part B Supplier - Clinic/Group Practice 9931367349 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1760 Termino Ave
Ste 107
Long Beach, CA 90804
Phone (213) 597-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1740479641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-5511",
            "fax_number": "562-498-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. LIEPPMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LIEPPMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "562-597-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G032245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.