Active NPI
Harry Lifschutz, M.D.
- Vascular Surgery Physician
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G42802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G428020 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100709000734 | CA | Practitioner - General Surgery | 5496887440 | Practice locations: Indio, CA; Rancho Mirage, CA; Calexico, CA; Brawley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General 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.
- Total Care Healthcare Services Inc
- Apostles Creed Home Health Care
- Relaxed Home Health Care
- GMH Home Health, Inc
- El Centro Regional Medical Center
- Eisenhower Medical Center
- Pioneers Memorial Healthcare District
Merit-based Incentive Payment System (MIPS)
- Final score
- 9.9 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 32.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 196 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42802 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| G42802 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Hollywood, CA
- NPI 1831813070
-
- Physician Assistant
- El Centro, CA
- NPI 1912756362
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Hills, CA
- NPI 1649936766
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
- Home Health Agency
- North Hollywood, CA
- NPI 1205378999
-
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
-
- Home Health Agency
- Granada Hills, CA
- NPI 1730786930
-
- Home Health Agency
- Mission Hills, CA
- NPI 1962152512
-
- Home Health Agency
- Glendale, CA
- NPI 1518537414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.