Active NPI
David Lozano, M.D.
- General Practice Physician
- Ontario, CA
National Provider Identifier
1104041995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A54737
- Practice address
- 402 E Holt Blvd
Ontario, CA 91761-1618 - Phone
- (909) 467-1605
- Fax
- (909) 467-1608
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A54737 | CA | Primary |
Addresses
Primary practice location
402 E Holt Blvd
Ontario, CA 91761-1618
Mailing address
402 E Holt Blvd
Ontario, CA 91761-1618
Phone (909) 467-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A547370 | 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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
402 E Holt Blvd
Ontario, CA 91761-1618
Hospital & facility affiliations
- Dignity Home Health Care Services, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54737 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Medical Clinic of Inland Empire Inc. | General Practice | Past | Accepting new patients |
| California Medical Clinic Inc | Past | Accepting new patients | |
| California Medical Clinic of Inland Empire Inc. | General Practice | Past | Accepting new patients |
| Californi Medical Clinic Inc | Past | Accepting new patients | |
| California Medical Clinic of Inland Empire Inc. | General Practice | Past | Accepting new patients |
| San Antonio Regional Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Physician
- Ontario, CA
- NPI 1003774209
-
- General Practice Physician
- Fontana, CA
- NPI 1447118658
-
- General Practice Physician
- Moreno Valley, CA
- NPI 1952269169
-
- Family Medicine Physician
- Fontana, CA
- NPI 1215022918
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1326133083
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Arcadia, CA
- NPI 1154824712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1104041995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E HOLT BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917611618",
"telephone_number": "909-467-1605",
"fax_number": "909-467-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E HOLT BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917611618",
"telephone_number": "909-467-1605",
"fax_number": "909-467-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A54737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A547370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.