Philip M. Lichtenfeld, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G39649 Issued in CA

Practice address

16550 Ventura Blvd Ste 320
Encino, CA 91436-2060

Phone

(818) 784-7784

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 12, 2020 through Aug 12, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Philip M. Lichtenfeld MD, Professional Corp.

  • Multi-Specialty Clinic/Center
  • Encino, CA
  • NPI 1609921659
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295880227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362060",
            "telephone_number": "818-784-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362060",
            "telephone_number": "818-784-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENFELD",
        "first_name": "PHILIP",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G39649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Hospice Care Inc
• Liauna Tolmasoff
• Libbit Surgical Center, LLC
• Liberty Pacific Medical Imaging Encino, LLC
• Liberty Pacific Medical Imaging, LLC
• Jacqueline W Lichtenstein, MD
• Jena K Liddy, MD
• Life Alert Emergency Response
• Life Home Health Services Inc
• Life Tree Hospice Inc

• Family Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.