Active NPI
Max Franklin Lebow, M.D.
- Emergency Medicine Physician
- Los Angeles, CA
National Provider Identifier
1104868660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G49950
- Practice address
- 9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203 - Phone
- (310) 419-7058
- Fax
- (310) 491-7075
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G49950 | CA | Primary |
Addresses
Primary practice location
9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203
Mailing address
1140 Laurel Ave
Manhattan Beach, CA 90266-4906
Phone (310) 546-5049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G499500 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Immediate Care Medical Group, Inc. | Current | Accepting new patients | |
| Reliant Immediate Care Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Max Franklin Lebow, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Centinela Freeman Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
Locations
9601 S Sepulveda Blvd
Los Angeles, CA 90045
Phone (310) 215-6020
2300 W Beverly Blvd
Ste 100
Montebello, CA 90640
Phone (626) 467-0202
11460 Telegraph Rd
Santa Fe Springs, CA 90670
Phone (562) 864-1000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1801838198
-
- Physical Therapist
- Los Angeles, CA
- NPI 1316635097
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1043255813
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1962539684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1104868660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 LAUREL AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664906",
"telephone_number": "310-546-5049",
"fax_number": "310-546-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455203",
"telephone_number": "310-419-7058",
"fax_number": "310-491-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOW",
"first_name": "MAX",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G49950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G499500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.