Individual provider Active NPI

Nicole Sondel Lewis, MD

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
National Provider Identifier
1316103500
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A152148 Issued in CA
Practice address
24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653
Phone
(949) 452-7200
Fax
(949) 464-0720
NPI assigned
Aug 6, 2008
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116020356 VA
Diagnostic Radiology Physician 2085R0202X MD039387 DC
Diagnostic Radiology Physician 2085R0202X A152148 CA Primary

Addresses

Primary practice location

24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653

Mailing address

24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653-3624
Phone (949) 464-0470

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
I20171020001986 CA Practitioner - Diagnostic Radiology 0143442970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Care Specialists Medical Group IncGroup PAC ID 8527380690, 5 clinicians

Practice addresses (Care Compare)

24401 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-3624
Phone (949) 452-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as group
Quality
10
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116020356VAMDInternal Medicine Physician
A152148CAMDDiagnostic Radiology Physician
MD039387DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Care Specialists Medical Group, Inc. Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

6301 S McClintock Dr
Ste 215
Tempe, AZ 85283
Phone (480) 820-6657

15500 Sand Canyon Ave
Ste 120
Irvine, CA 92618
Phone (949) 462-3999

4040 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (949) 857-0676

24401 Health Center Dr
Laguna Hills, CA 92653

2001 Westcliff Dr
Ste 103
Newport Beach, CA 92660
Phone (714) 378-7955

30492 Gateway Pl
Ste 100
Rancho Mission Viejo, CA 92694

1300 Avenida Vista Hermosa
Ste 180
San Clemente, CA 92673
Phone (949) 542-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1316103500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533624",
            "telephone_number": "949-464-0470",
            "fax_number": "949-464-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-452-7200",
            "fax_number": "949-464-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "SONDEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116020356",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD039387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A152148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.