Individual provider Active NPI

Mario Lemus

  • Physician Assistant
  • Porterville, CA
National Provider Identifier
1134519374
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52256 Issued in CA
Practice address
263 Pearson Dr
Porterville, CA 93257-3333
Phone
(559) 791-4739
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52256 CA Primary

Addresses

Primary practice location

263 Pearson Dr
Porterville, CA 93257-3333

Mailing address

2381 Tahoe Ave
Tulare, CA 93274-6189
Phone (661) 229-8241

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001789 CA Practitioner - Physician Assistant 7810215423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

4871 White LN
Bakersfield, CA 93309-6375
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52256CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Western Group, a Professional Corporation CurrentSince Jan 1, 2019 Accepting new patients
Cep America-California CurrentSince Mar 1, 2016 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 12, 2018 Accepting new patients
Cep America - California CurrentSince Mar 1, 2016 Accepting new patients
Prairie Schooner Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients
Premier Emergency Physicians of California Medical Group PC Physician Assistant Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1134519374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 TAHOE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746189",
            "telephone_number": "661-229-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PEARSON DR",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573333",
            "telephone_number": "559-791-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.