Lewis JM Mott, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G25617 Issued in CA

Practice address

18128 Wood Duck St
Woodland, CA 95695-6033

Phone

(530) 666-7473

Fax

(530) 666-7473

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1912924598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18128 WOOD DUCK ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956956033",
            "telephone_number": "530-666-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18128 WOOD DUCK ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956956033",
            "telephone_number": "530-666-7473",
            "fax_number": "530-666-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "LEWIS",
        "middle_name": "JM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G25617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G256170",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G256170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00003480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Alejandra Moreno-Iniguez, LVN
• Adilene Moreno
• Robyn Coleen Morris
• Stephanie G. Moss, NP
• Suzan Jane Motooka
• Lori Mott, PHARM D
• Emily D Mowry, FNP-C
• Jennifer Wadlin Moylan
• Stacy Mueller
• Aida Mujagic, BCBA

• Anatomic Pathology & Clinical Pathology Physician in Woodland, CA
• Providers in Woodland, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.