Clarke R. Lew, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A54668 Issued in CA

Practice address

751 S Weir Canyon Rd
Anaheim, CA 92808-1962

Phone

(714) 453-0120

Fax

(714) 453-0138

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Family Practice

Education

University of California, Irvine, California College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: clarke.lew.1@10039.direct.athenahealth.com
• Direct secure messaging: illuminationfoundationmedicalgroup.clarkelew@159944.advancedmd-direct.com
• Direct secure messaging: clarke.lew.1@22909.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22909/brand/1/csg/1/fhir/r4

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.

• Livingstone Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Stanton, CA
  • NPI 1952662686
  Medicare reassignment NPD
• Clarke Lew Medical Corp

  • Community Health Clinic/Center
  • Fullerton, CA
  • NPI 1205444742

  Family Medicine

  NPD
• Livingstone Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Fullerton, CA
  • NPI 1881210318

  Family Medicine

  NPD
• Centennial Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1336442136
  NPD (past)
• Chapman Medical Center Inc

  • Institutional Pharmacy
  • Orange, CA
  • NPI 1053354308
  NPD (past)
• Emergency Physicians Medical Group Inc.

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1104018597
  NPD (past)
• Grapevine Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1982907770
  NPD (past)
• Main Street Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1881971463
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1194768077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-453-0120",
            "fax_number": "714-453-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-453-0120",
            "fax_number": "714-453-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "CLARKE",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A54668",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA54668E",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond W.P. Leung, M.D.
• Tara Lee Lev
• Amanda Levi
• Edward Fred Levine, M.D.
• Yane Levy, DDS
• Colleen Lew, OTR/L
• Dexter Lew
• Shannon Lew, PHARM D.
• Robert Alan Lewinter, PHARMACIST
• Alex Lewis

• Emergency Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.

Verify at the official NPI Registry.