NORTHERN CALIFORNIA MELANOMA CENTER – NPI #1205964285
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

NORTHERN CALIFORNIA MELANOMA CENTER is a provider located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1205964285 to NORTHERN CALIFORNIA MELANOMA CENTER on March 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHERN CALIFORNIA MELANOMA CENTER” is a dba name, the actual legal business name for this organization is LYNN E. SPITLER, MD, A MEDICAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology

The NPI profile was previously updated about 15 years ago on Apr 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHERN CALIFORNIA MELANOMA CENTER below.

NPI Profile for
LYNN E. SPITLER, MD, A MEDICAL CORPORATION

NPI Number
1205964285
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LYNN E. SPITLER, MD, A MEDICAL CORPORATION
Doing Business As (dba): NORTHERN CALIFORNIA MELANOMA CENTER
Primary location
450 STANYAN STREET
ST. MARY'S MEDICAL CENTER, NORTHERN CALIFORNIA MELANOMA
SAN FRANCISCO, CA 94117-2725
Phone: (415) 750-5660 Fax: (415) 750-4860
Mailing address
1895 MOUNTAIN VIEW DRIVE
TIBURON, CA 94920-1809
Phone: (415) 750-5660 Fax: (415) 750-4860
Organization Subpart
No
Authorized Official
LYNN SPITLER
PRESIDENT
Phone: (415) 750-4020
Updated
Identifiers

Identifiers for NORTHERN CALIFORNIA MELANOMA CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARECA00C264460
MEDICAIDCA00C264460
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0201X
- Internal Medicine / Allergy & Immunology (Primary)
CA C26446
207RX0202X
- Internal Medicine / Medical Oncology
CA C26446

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.