Individual provider Active NPI

Harry Lifschutz, M.D.

  • Vascular Surgery Physician
  • Indio, CA
National Provider Identifier
1013014752
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G42802 Issued in CA
Practice address
81709 Dr Carreon Blvd
Ste D1
Indio, CA 92201-5578
Phone
(760) 775-3001
Fax
(760) 775-3115
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G42802 CA
General Practice Physician 208D00000X G42802 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G42802 CA
Vascular Surgery Physician 2086S0129X G42802 CA Primary

Addresses

Primary practice location

81709 Dr Carreon Blvd
Ste D1
Indio, CA 92201-5578

Mailing address

14120 Alondra Blvd
Suite C
Santa Fe Springs, CA 90670-5820
Phone (562) 407-2080

Other identifiers 1

IdentifierTypeStateIssuer
00G428020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000734 CA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5496887440 Practice locations: Indio, CA; Rancho Mirage, CA; Calexico, CA; Brawley, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14120 Alondra Blvd C
Santa Fe Springs, CA 90670-5842

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

578 G St
Brawley, CA 92227-2411
Phone (760) 344-2157

801 E Birch St
Suite 2
Calexico, CA 92231-5925
Phone (760) 357-0337

81709 Doctor Carreon Blvd
Suite D1
Indio, CA 92201-5578
Phone (760) 775-3001

Hospital & facility affiliations

  • Tribute Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757415
  • Total Care Healthcare Services Inc Home health agency, Mission Hills, CA, CCN 757816
  • Apostles Creed Home Health Care Home health agency, Canoga Park, CA, CCN 757663
  • Relaxed Home Health Care Home health agency, Granada Hills, CA, CCN 757290
  • GMH Home Health, Inc Home health agency, North Hollywood, CA, CCN 559042
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342

Merit-based Incentive Payment System (MIPS)

Final score
9.9 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
32.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal196
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42802CAMDOrthodontics and Dentofacial Orthopedic Dentist
G42802CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell D Claire Physician Assistant PC Past Accepting new patients
Holding Hands Family Psychiatry and Wellness Nursing Inc 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1013014752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD",
            "address_2": "SUITE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705820",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD",
            "address_2": "STE D1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015578",
            "telephone_number": "760-775-3001",
            "fax_number": "760-775-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFSCHUTZ",
        "first_name": "HARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G42802",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G42802",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G42802",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G42802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G428020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.