Active NPI
Lefkos B Aftonomos, M.D.
- Physical Medicine & Rehabilitation Physician
- San Mateo, CA
National Provider Identifier
1972544088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G37819
- Practice address
- 34 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2824 - Phone
- (650) 513-6651
- Fax
- (650) 350-4395
- NPI assigned
- Jun 9, 2006
- Last updated
- Dec 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G37819 | CA | Primary |
Addresses
Primary practice location
34 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2824
Mailing address
730 Polhemus Rd
Suite 203
San Mateo, CA 94402-3976
Phone (650) 356-0076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G378190 | 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 |
|---|---|---|---|
| G37819 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoyman Hong, MD a Prof Med Corp | Physical Medicine & Rehabilitation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- San Mateo, CA
- NPI 1902847015
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Francisco, CA
- NPI 1053578161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1972544088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 POLHEMUS RD",
"address_2": "SUITE 203",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023976",
"telephone_number": "650-356-0076",
"fax_number": "650-349-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 N SAN MATEO DR",
"address_2": "SUITE 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012824",
"telephone_number": "650-513-6651",
"fax_number": "650-350-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFTONOMOS",
"first_name": "LEFKOS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G37819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G378190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Adrienne McGrael Souders MD Inc
- Adult Resource Management Team
- Advanced Diagnostic Solutions Inc.
- Nikoo Aflak
- After Hour Pediatrics Urgent Care Clinic, a Medical Corporation (After Hour Pediatrics Urgent Care Clinic)
- Ageless Home Health Care
- Agility Health
- Aging in Place San Mateo LLC
- Judy Lea Amian Agloro
- Kristin Agrimson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.