Organization Active NPI

Lewit Worrell MD Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Dimas, CA
National Provider Identifier
1134317308
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A67787 Issued in CA
Legal business name
LEWIT WORRELL MD INC
Practice address
1334 W Covina Blvd
Suite 101
San Dimas, CA 91773-3211
Phone
(909) 599-6611
Fax
(909) 599-8390
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Lewit A Worrell, M.D.NPI 1821167933
Title
President
Phone
(909) 730-4261

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
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X A67787 CA Primary

Addresses

Primary practice location

1334 W Covina Blvd
Suite 101
San Dimas, CA 91773-3211

Mailing address

PO Box 2728
Covina, CA 91722-8728
Phone (909) 730-4261

Other names 1

  • Foothill ENT Care Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080121000309 CA Part B Supplier - Clinic/Group Practice 2264513803 Receives reassigned benefits from 1 practitioner
Practice locations: San Dimas, CA

National Provider Directory

National Provider Directory

Locations

1305 W Arrow Hwy
Ste 106
San Dimas, CA 91773
Phone (909) 592-8840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1134317308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2728",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917228728",
            "telephone_number": "909-730-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD",
            "address_2": "SUITE 101",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6611",
            "fax_number": "909-599-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIT WORRELL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "LEWIT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-730-4261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A67787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill ENT Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.