Active NPI
Steven Lerner, PA
- Physician Assistant
- Fountain Valley, CA
National Provider Identifier
1891777462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 12344
- Practice address
- 11420 Warner Ave
Fountain Valley, CA 92708-2529 - Phone
- (714) 549-1300
- Fax
- (714) 665-4618
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 12344 | CA | Primary |
Addresses
Primary practice location
11420 Warner Ave
Fountain Valley, CA 92708-2529
Mailing address
2742 Dow Ave
Tustin, CA 92780-7242
Phone (714) 665-1661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA12344 | Medicaid | CA |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 12344 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1891777462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 DOW AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807242",
"telephone_number": "714-665-1661",
"fax_number": "714-665-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 WARNER AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082529",
"telephone_number": "714-549-1300",
"fax_number": "714-665-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 12344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA12344",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.