Lighthearted Medicine, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

C53920 Issued in CA

Legal business name

LIGHTHEARTED MEDICINE, INC.

Practice address

1700 Montgomery St Ste 101
San Francisco, CA 94111-1022

Phone

(415) 964-0546

Fax

(888) 861-2143

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Allen Roberts, MDNPI 1912940305

Title

Cfo, Medical Director

Phone

(415) 964-0546

Specialties & licenses 1

Addresses

Other names 1

• LightHearted Medicine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Allen Roberts, MD

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1912940305
  NPD (past) Authorized official
• Molly Manning Roberts, MD, MS

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1558302612
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1982151676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MONTGOMERY ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111022",
            "telephone_number": "415-964-0546",
            "fax_number": "888-861-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MONTGOMERY ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111022",
            "telephone_number": "415-964-0546",
            "fax_number": "888-861-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHEARTED MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-964-0546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "C53920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LightHearted Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Light
• Kenneth Ian Light, M.D.
• Richard Leonard Light
• Adrienne Lightbourne, MD
• Tamara I. Lightfoot, RPH
• Lighthouse for the Blind and Visually Impaired
• Lightride Transportation LLC
• Ilya Likhterov, MD
• Lila Reedy DC Chiropractic Corporation
• David Campbell Liles, MD

• Health Service Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.