NPIMap

Organization Active NPI

Lacusc Medical Center

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1114372570
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
100004087 Issued in CA
Legal business name
LACUSC MEDICAL CENTER
Practice address
2051 Marengo St # C4E100
Los Angeles, CA 90033-1352
Phone
(323) 409-7748
NPI assigned
May 3, 2016
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Phillip Lumb, MD
Title
Chairman
Phone
(323) 409-7748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 100004087 CA Primary

Addresses

Primary practice location

2051 Marengo St # C4E100
Los Angeles, CA 90033-1352

Mailing address

2051 Marengo St # C4E100
Los Angeles, CA 90033-1352

National Provider Directory

National Provider Directory

Locations

2051 Marengo St
#C4E100
Los Angeles, CA 90033
Phone (323) 409-4597

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1114372570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST # C4E100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST # C4E100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-409-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACUSC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "LUMB",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "323-409-7748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "100004087",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.