NPIMap

Individual provider Active NPI

Sheila Lezcano, M.D.

  • Rheumatology Physician
  • Los Angeles, CA
National Provider Identifier
1295098390
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A130548 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 3300
Los Angeles, CA 90033-2469
Phone
(323) 307-8900
Fax
(323) 881-8864
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X A130548 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 3300
Los Angeles, CA 90033-2469

Mailing address

1700 E Cesar E Chavez Ave Ste 3300
Los Angeles, CA 90033-2469
Phone (323) 307-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725001829 CA Practitioner - RheumatologyPractitioner - Internal Medicine 6406126424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians

Practice addresses (Care Compare)

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130548CAMDRheumatology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Nov 30, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2017 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2017 Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

155 Solano St
Corning, CA 96021
Phone (530) 824-4663

18990 Coyote Valley Rd
Ste 8
Hidden Valley Lake, CA 95467
Phone (707) 987-8344

1975 Verdugo Blvd
La Canada Flintridge, CA 91011
Phone (818) 249-9454

1700 E Cesar E Chavez Ave
Ste 3300
Los Angeles, CA 90033
Phone (323) 264-2132

5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1295098390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-307-8900",
            "fax_number": "323-881-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332469",
            "telephone_number": "323-307-8900",
            "fax_number": "323-881-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZCANO",
        "first_name": "SHEILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A130548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.