Individual provider Active NPI

Richard Lessman, M.D.

  • Nephrology Physician
  • Thousand Oaks, CA
National Provider Identifier
1073513263
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A23840 Issued in CA
Practice address
227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848
Phone
(805) 496-6051
Fax
(805) 496-6785
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A23840 CA Primary

Addresses

Primary practice location

227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848

Mailing address

227 W Janss Rd
Suite 110
Thousand Oaks, CA 91360-1848
Phone (805) 496-6051

Other identifiers 1

IdentifierTypeStateIssuer
00A23840MedicaidCA

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
I20041105000871 CA Practitioner - NephrologyPractitioner - Internal Medicine 8426011941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A23840CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Regional Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1073513263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-6051",
            "fax_number": "805-496-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-6051",
            "fax_number": "805-496-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSMAN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A23840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A23840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.