Individual provider Active NPI

Lawrence Dicapua, M.D.

  • Diagnostic Radiology Physician
  • Hemet, CA
National Provider Identifier
1255375879
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A39078 Issued in CA
Practice address
890 W Stetson Ave Ste B
Apex Radiology Medical Group, Inc.
Hemet, CA 92543-7311
Phone
(951) 766-3097
NPI assigned
Jun 15, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A39078 CA Primary

Addresses

Primary practice location

890 W Stetson Ave Ste B
Apex Radiology Medical Group, Inc.
Hemet, CA 92543-7311

Mailing address

890 W Stetson Ave
Suite B
Hemet, CA 92543-7311
Phone (951) 537-6002

Other identifiers 6

IdentifierTypeStateIssuer
00A390780MedicaidCA
00A390781OtherCAMEDICARE PTAN
00A390783OtherCAMEDICARE PTAN
300041756OtherCARAILROAD
00A390782OtherCAMEDICARE PTAN
300044757OtherCARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39078CAMDDentist
A39078CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hemet Radiology Medical Group, Inc. Diagnostic Radiology PastSince May 16, 2012 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, 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1255375879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-537-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W STETSON AVE STE B",
            "address_2": "APEX RADIOLOGY MEDICAL GROUP, INC.",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437311",
            "telephone_number": "951-766-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICAPUA",
        "first_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A39078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A390780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A390781",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A390783",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "300041756",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A390782",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "300044757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.