Individual provider Active NPI

Julio Fernando Lemus, M.D.

  • Obstetrics & Gynecology Physician
  • Montebello, CA
National Provider Identifier
1063469542
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A44494 Issued in CA
Practice address
120 S Montebello Blvd
Montebello, CA 90640-4730
Phone
(323) 726-0533
Fax
(310) 476-4111
NPI assigned
May 28, 2006
Last updated
Jan 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A44494 CA Primary

Addresses

Primary practice location

120 S Montebello Blvd
Montebello, CA 90640-4730

Mailing address

2385 Roscomare Rd
Suite D4
Los Angeles, CA 90077-1838
Phone (310) 991-7718

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
I20041214000786 CA Practitioner - Obstetrics/Gynecology 9739146416 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44494CAMDDentist
A44494CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julio Lemus MD Inc a Medical Corporation Obstetrics & Gynecology CurrentSince Apr 15, 2006 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients
Anil Mohin MD, Facc a Professional Medical Corporation Obstetrics & Gynecology Past Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
Kim-Wayne Medical Enterprises Inc PastSince Apr 15, 2006 Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients

Locations

218 W Badillo St
Covina, CA 91723
Phone (626) 332-6234

120 S Montebello Blvd
Montebello, CA 90640
Phone (323) 720-9204

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1063469542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ROSCOMARE RD",
            "address_2": "SUITE D4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771838",
            "telephone_number": "310-991-7718",
            "fax_number": "310-476-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-726-0533",
            "fax_number": "310-476-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "JULIO",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A44494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.