Active NPI
Lawrence Holmes, M.D.
- Diagnostic Radiology Physician
- Berkeley, CA
National Provider Identifier
1962435834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G19750
- Practice address
- 2450 Ashby Ave
Berkeley, CA 94705-2067 - Phone
- (925) 296-7156
- Fax
- (925) 296-7174
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G19750 | CA | Primary |
Addresses
Primary practice location
2450 Ashby Ave
Berkeley, CA 94705-2067
Mailing address
175 Lennon LN
Suite 100
Walnut Creek, CA 94598-2485
Phone (925) 296-7156
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 |
|---|---|---|---|
| G19750 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Call Coverage Medical Group, Inc. | Past | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
-
- Critical Care Medicine (Internal Medicine) Physician
- Walnut Creek, CA
- NPI 1306056262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1962435834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 LENNON LN",
"address_2": "SUITE 100",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982485",
"telephone_number": "925-296-7156",
"fax_number": "925-296-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052067",
"telephone_number": "925-296-7156",
"fax_number": "925-296-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G19750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.