Individual provider Active NPI

Charles L Lewis, M.D.

  • Psychiatry Physician
  • La Mesa, CA
National Provider Identifier
1346271194
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C33286 Issued in CA
Practice address
8318 University Ave
Suite A5
La Mesa, CA 91942-3865
Phone
(619) 579-2187
Fax
(619) 579-2187
NPI assigned
Jul 6, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C33286 CA Primary

Addresses

Primary practice location

8318 University Ave
Suite A5
La Mesa, CA 91942-3865

Mailing address

8318 University Ave
Suite A5
La Mesa, CA 91942-3865
Phone (619) 579-2187

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
I20101011000393 CA Practitioner - Psychiatry 2769674621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5135 New Ranch Rd
El Cajon, CA 92020-8268
Phone (619) 579-2187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33286CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Lewis MD Professional Corporation Psychiatry CurrentSince Aug 5, 1979 Accepting new patients

Locations

8318 University Ave
Ste A5
La Mesa, CA 91942
Phone (619) 507-5590

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1346271194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423865",
            "telephone_number": "619-579-2187",
            "fax_number": "619-579-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423865",
            "telephone_number": "619-579-2187",
            "fax_number": "619-579-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C33286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.