Active NPI
Alex Antwan Lewis
- Rehabilitation Practitioner
- Torrance, CA
National Provider Identifier
1235457243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 4025 W 226TH St
Torrance, CA 90505-2340 - Phone
- (310) 373-4556
- NPI assigned
- May 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
4025 W 226TH St
Torrance, CA 90505-2340
Mailing address
4197 4TH Ave
Los Angeles, CA 90008-3901
Phone (562) 989-0537
Other practice location 1
3605 Long Beach Blvd
suite 331
Long Beach, CA 90807-4013
Phone (562) 989-0537
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | ||
| CONNECT URL | laptop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring About Lives | Current | Accepting new patients |
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.
-
- Case Management Agency
- Los Angeles, CA
- NPI 1487272688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1235457243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4197 4TH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083901",
"telephone_number": "562-989-0537",
"fax_number": "562-989-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 W 226TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052340",
"telephone_number": "310-373-4556"
}
],
"practiceLocations": [
{
"address_1": "3605 Long Beach Blvd",
"address_2": "suite 331",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908074013",
"country_code": "US",
"telephone_number": "562-989-0537",
"fax_number": "562-989-0573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "ALEX",
"middle_name": "ANTWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-14",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "4197 4th Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900083901",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "laptop",
"affiliation": "N",
"address_1": "4197 4th Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900083901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.