Organization Active NPI

David M. Lechuga, PH.D., a.P.C.

  • Clinical Neuropsychologist
  • Lake Forest, CA
National Provider Identifier
1083954325
Registry record updated Feb 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY10139 Issued in CA
Legal business name
DAVID M. LECHUGA, PH.D., A.P.C.
Practice address
13 Orchard
Suite 103
Lake Forest, CA 92630-8320
Phone
(949) 837-3358
Fax
(949) 837-0274
NPI assigned
Feb 24, 2013
Last updated
Feb 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2013

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

Authorized official

Name
David M Lechuga, PH.D.NPI 1982712386
Title
President
Phone
(949) 837-3358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PSY10139 CA Primary

Addresses

Primary practice location

13 Orchard
Suite 103
Lake Forest, CA 92630-8320

Mailing address

13 Orchard
Suite 103
Lake Forest, CA 92630-8320
Phone (949) 837-3358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000385 CA Part B Supplier - Clinic/Group Practice 8022263458 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361664000000",
    "number": "1083954325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ORCHARD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308320",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ORCHARD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308320",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. LECHUGA, PH.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-02-24",
        "status": "A",
        "authorized_official_last_name": "LECHUGA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-837-3358",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.