Active NPI
Lawrence Dicapua, M.D.
- Diagnostic Radiology Physician
- Hemet, CA
National Provider Identifier
1255375879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A39078
- 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, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A390780 | Medicaid | CA | |
| 00A390781 | Other | CA | MEDICARE PTAN |
| 00A390783 | Other | CA | MEDICARE PTAN |
| 300041756 | Other | CA | RAILROAD |
| 00A390782 | Other | CA | MEDICARE PTAN |
| 300044757 | Other | CA | RAILROAD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39078 | CA | MD | Dentist |
| A39078 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemet Radiology Medical Group, Inc. | Diagnostic Radiology | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.