Lester Marc Bornheim, B.S,, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

31565 Issued in CA

Practice address

5 Hawthorne Ave
San Anselmo, CA 94960-1522

Phone

(415) 485-9219

NPI assigned

May 21, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Philosophy

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1942560230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601522",
            "telephone_number": "415-485-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAWTHORNE AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601522",
            "telephone_number": "415-485-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNHEIM",
        "first_name": "LESTER",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "B.S,, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "31565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Bielefeld, LMFT
• Julie Birnbaum, MA, CD
• Jessica Michelle Blake, M.F.T.
• Martin G Blinder, MD
• Carlynn Clifford Bloom, LMFT
• Boyer B. Cole, N.D., Naturopathic Medical Doctor
• Kate E Brennan, MFT
• David Brody, MD
• Michael Broffman, LAC
• Jennifer Bass Brooks, D.M.D.

• Pharmacist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.