Active NPI
Christopher A Lewis, PA-C
- Physician Assistant
- Tehachapi, CA
National Provider Identifier
1275781981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053552
- Practice address
- 161 N Mill St
Tehachapi, CA 93561-1347 - Phone
- (661) 822-9054
- Fax
- (661) 822-9082
- NPI assigned
- Sep 5, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20021 | CA | |
| Physician Assistant | 363A00000X | 50.002820 | OH | |
| Physician Assistant | 363A00000X | MA053552 | PA | Primary |
Addresses
Primary practice location
161 N Mill St
Tehachapi, CA 93561-1347
Mailing address
659 S. Central Valley Hwy
PO Box 1060
Shafter, CA 93263-1347
Phone (661) 822-9054
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clewis1166209@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20021 | CA | MD | Physician Assistant |
| 50.002820 | OH | MD | Physician Assistant |
| MA053552 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients |
Interoperability endpoints
- clewis1166209@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1689116618
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1093998833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1275781981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S. CENTRAL VALLEY HWY",
"address_2": "PO BOX 1060",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932631347",
"telephone_number": "661-822-9054",
"fax_number": "661-822-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 N MILL ST",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935611347",
"telephone_number": "661-822-9054",
"fax_number": "661-822-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-05",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20021",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002820",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053552",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clewis1166209@oc.providencedirect.org",
"affiliation": "N",
"address_1": "331 N Pacific Coast Hwy",
"city": "El Segundo",
"state": "CA",
"country_code": "US",
"postal_code": "902454444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.