Active NPI
James Michael Lundeen, PT
- Physical Medicine & Rehabilitation Physician
- Sonora, CA
National Provider Identifier
1750438065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 18258
- Practice address
- 230 S Shepherd St
Suite a
Sonora, CA 95370-5076 - Phone
- (209) 559-6290
- Fax
- (209) 532-5003
- NPI assigned
- Jan 5, 2007
- Last updated
- May 9, 2024
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 18258 | CA | Primary |
Addresses
Primary practice location
230 S Shepherd St
Suite a
Sonora, CA 95370-5076
Mailing address
2730 S Pace West Dr
Tucson, AZ 85730-1422
Phone (209) 559-6290
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1750438065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 S PACE WEST DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857301422",
"telephone_number": "209-559-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S SHEPHERD ST",
"address_2": "SUITE A",
"city": "SONORA",
"state": "CA",
"postal_code": "953705076",
"telephone_number": "209-559-6290",
"fax_number": "209-532-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDEEN",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "18258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
- Louis Arlen Looper, M.A.
- Danett L Lozano, LVN
- Carly Lucchesi, RDN
- Cynthia Ann Luce, RDH
- Tamara Frances Lund, DC, DACNB
- Vincent Luong, RPH
- Robert Lyons, M.D.
- M a C T Health Board Incorporated (MACT Behavioral Health, Sonora)
- M a C T Health Board Incorporated (MACT Medical Sonora)
- M a C T Health Board Incorporated (MACT Dental, Sonora)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.