Active NPI
Joshua Mark Lichtman, D.O.
- Psychiatry Physician
- Downey, CA
National Provider Identifier
1003930983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A8909
- Practice address
- 9449 Imperial Hwy Ste 206
Downey, CA 90242-2814 - Phone
- (562) 657-2010
- Fax
- (562) 657-2779
- NPI assigned
- Mar 18, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A8909 | CA | Primary |
Addresses
Primary practice location
9449 Imperial Hwy Ste 206
Downey, CA 90242-2814
Mailing address
3333 Skypark Dr
Ste 220
Torrance, CA 90505-5035
Phone (562) 657-2010
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8909 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Wellness Spa, a Medical PC | Psychiatry | Past | Accepting new patients |
| Torrance Memorial Medical Center | 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.
-
- Psychiatry Physician
- Manhattan Beach, CA
- NPI 1003394149
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1003930983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 SKYPARK DR",
"address_2": "STE 220",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055035",
"telephone_number": "562-657-2010",
"fax_number": "562-657-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 IMPERIAL HWY STE 206",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422814",
"telephone_number": "562-657-2010",
"fax_number": "562-657-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTMAN",
"first_name": "JOSHUA",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A8909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.