Individual provider Active NPI

Gideon H. Lowe III, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1356442974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C33638 Issued in CA
Practice address
1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421
Phone
(213) 413-1775
Fax
(213) 413-3088
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C33638 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421
Phone (213) 413-1775

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
I20060307000809 CA Practitioner - Ophthalmology 0547277105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1711 W Temple St
Suite 5600
Los Angeles, CA 90026-7337
Phone (213) 413-1775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33638CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gideon H. Lowe, III, M.D., Inc Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients

Locations

1711 W Temple St
Ste 5600
Los Angeles, CA 90026
Phone (213) 413-1775

415 S Union Ave
Los Angeles, CA 90017
Phone (213) 484-0734

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356442974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 5600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-1775",
            "fax_number": "213-413-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 5600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-1775",
            "fax_number": "213-413-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "GIDEON",
        "middle_name": "H.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C33638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.