Active NPI
David J Lourie, MD
- Surgery Physician
- Pasadena, CA
National Provider Identifier
1013966571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G70873
- Practice address
- 10 Congress St Ste 512
Pasadena, CA 91105-3042 - Phone
- (626) 793-7955
- Fax
- (626) 793-7577
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G70873 | CA | Primary |
Addresses
Primary practice location
10 Congress St Ste 512
Pasadena, CA 91105-3042
Mailing address
10 Congress St Ste 512
Pasadena, CA 91105-3042
Phone (626) 793-7955
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 |
|---|---|---|---|---|
| I20050906000582 | CA | Practitioner - General Surgery | 0446296560 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70873 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1013966571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CONGRESS ST STE 512",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053042",
"telephone_number": "626-793-7955",
"fax_number": "626-793-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CONGRESS ST STE 512",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053042",
"telephone_number": "626-793-7955",
"fax_number": "626-793-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOURIE",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G70873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.