Individual provider Active NPI

Mark Lembersky, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1215914841
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4057 Issued in CA
Practice address
739 N Fairfax Ave
Los Angeles, CA 90046-7261
Phone
(818) 566-6668
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4057 CA Primary

Addresses

Primary practice location

739 N Fairfax Ave
Los Angeles, CA 90046-7261

Mailing address

5225 White Oak Ave
Number 4
Encino, CA 91316-2457
Phone (818) 881-5295

Other identifiers 2

IdentifierTypeStateIssuer
000E40571MedicaidCA
000E40574MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000560 CA Practitioner - Podiatry 1951325182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

948 N Fairfax Ave
Unit 201
West Hollywood, CA 90046-7204
Phone (818) 566-6668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue179
Removal or shaving of skin growth923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4057CAMDSchool Psychologist
E4057CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Lembersky D P M a Professional Corporation Podiatrist CurrentSince Jun 10, 2000 Accepting new patients

Locations

739 N Fairfax Ave
Los Angeles, CA 90046
Phone (323) 655-3933

948 N Fairfax Ave
#201
West Hollywood, CA 90046
Phone (323) 654-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1215914841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WHITE OAK AVE",
            "address_2": "NUMBER 4",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162457",
            "telephone_number": "818-881-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467261",
            "telephone_number": "818-566-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBERSKY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40571",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.