Active NPI
Spencer L. Lowe, MD
- Otolaryngology Physician
- Stockton, CA
National Provider Identifier
1932201589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 00G35173
- Practice address
- 10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288 - Phone
- (209) 952-0483
- Fax
- (209) 478-5785
- NPI assigned
- Sep 3, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 00G35173 | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288
Mailing address
1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399
Other practice location 1
550 W Eaton Ave Ste 548
Tracy, CA 95376-3422
Phone (209) 952-0483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7192318 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G35173 | CA | MD | Otolaryngology Physician |
| 35173 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1932201589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EXPOSITION BLVD BLDG 700",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154314",
"telephone_number": "916-736-3399",
"fax_number": "916-233-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY STE 201",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197288",
"telephone_number": "209-952-0483",
"fax_number": "209-478-5785"
}
],
"practiceLocations": [
{
"address_1": "550 W Eaton Ave Ste 548",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953763422",
"country_code": "US",
"telephone_number": "209-952-0483",
"fax_number": "209-478-5785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWE",
"first_name": "SPENCER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "00G35173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7192318",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.