PO Long Lew, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5380 Issued in CA

Practice address

9308 Valley Blvd
Rosemead, CA 91770-1924

Phone

(626) 288-8881

Fax

(626) 288-6648

NPI assigned

Jul 31, 2006

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• PO Long Lew, D.O. a Medical Professional Corp.

  • Family Medicine Physician
  • Rosemead, CA
  • NPI 1558527572
  Authorized official Same address or phone
• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabriel Valley Medical Center

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1811099674
  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1235145350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8881",
            "fax_number": "626-288-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8881",
            "fax_number": "626-288-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "PO",
        "middle_name": "LONG",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20A5380A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53800",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seetha Leelamma, CCC-SLP
• Kelly Leong
• Brandon Lew, PA-C
• Derrick Cheung Lew, D.P.M
• Hau Long Lew, D.C.
• Sarah Lewon
• Angel Li, MSW
• Beryl Li, LCSW
• Jane Yan Li, OPTOMETRIST
• Ran Li, M.S.G

• Family Medicine Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.