Individual provider Active NPI

Daniel Lemor, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1275950115
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A156391 Issued in CA
Practice address
4036 Whittier Blvd Ste 202
Los Angeles, CA 90023
Phone
(323) 262-3333
NPI assigned
Mar 27, 2014
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A156391 CA Primary
Ophthalmology Physician 207W00000X MD.MD.60820872 WA
Cornea and External Diseases Specialist Physician 207WX0120X A156391 CA

Addresses

Primary practice location

4036 Whittier Blvd Ste 202
Los Angeles, CA 90023

Mailing address

4036 Whittier Blvd Ste 202
Los Angeles, CA 90023-2561
Phone (323) 262-3333

Other practice location 1

325 9th Ave
Seattle, WA 98104
Phone (206) 744-2020

Other practice location 2

4036 Whittier Blvd Ste 202
Los Angeles, CA 90023
Phone (323) 262-3333

Other identifiers 2

IdentifierTypeStateIssuer
1275950115MedicaidWA
2365266MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191022001884 CA Practitioner - Ophthalmology 1254550684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Center for Visioncare Surgical and Medical GroupGroup PAC ID 8921049594, 7 clinicians
Marcos Lemor, MD a Medical CorporationGroup PAC ID 1456510205, 2 clinicians

Practice addresses (Care Compare)

2031 W Alameda Ave
Suite 300
Burbank, CA 91506-2960
Phone (818) 762-0647

4036 Whittier Blvd
Suite 202
Los Angeles, CA 90023-2561
Phone (323) 262-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.60820872WAMDOphthalmology Physician
A156391CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcos Lemor, MD a Medical Corporation Ophthalmology CurrentSince Sep 17, 2019 Accepting new patients
A Center for Visioncare Surgical & Medical Group Ophthalmology CurrentSince Sep 2, 2020 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Eladh, LP Past Accepting new patients
Kenneth Cohn, M.D., a Medical Corporation Ophthalmology PastSince Aug 31, 2009 Accepting new patients

Locations

2031 W Alameda Ave
Ste 300
Burbank, CA 91506
Phone (818) 558-6843

4036 Whittier Blvd
Ste 202
Los Angeles, CA 90023
Phone (323) 262-3333

3849 Tweedy Blvd
South Gate, CA 90280
Phone (323) 567-1396

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1275950115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 WHITTIER BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232561",
            "telephone_number": "323-262-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 WHITTIER BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90023",
            "telephone_number": "323-262-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-744-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4036 Whittier Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90023",
            "country_code": "US",
            "telephone_number": "323-262-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMOR",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A156391",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD.MD.60820872",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A156391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275950115",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365266",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.