Active NPI
Mariana Lotersztain, MD
- Internal Medicine Physician
- Vacaville, CA
National Provider Identifier
1881128296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A91928
- Practice address
- 2100 Peabody Rd
Vacaville, CA 95687-6639 - Phone
- (707) 724-3024
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A91928 | CA | Primary |
Addresses
Primary practice location
2100 Peabody Rd
Vacaville, CA 95687-6639
Mailing address
PO Box 1715
Vacaville, CA 95696-1715
Phone (650) 248-6634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285910729. | Other | CA | STATE OF CALIFORNIA EIN: 1347 |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91928 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1881128296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1715",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956961715",
"telephone_number": "650-248-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PEABODY RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876639",
"telephone_number": "707-724-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTERSZTAIN",
"first_name": "MARIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A91928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA EIN: 1347",
"identifier": "1285910729.",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.