Individual provider Active NPI

Matthew Lew, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1356792907
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157888 Issued in CA
Practice address
1809 Verdugo Blvd Ste 200
Glendale, CA 91208-1402
Phone
(818) 790-4730
Fax
(818) 790-2816
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A157888 CA Primary

Addresses

Primary practice location

1809 Verdugo Blvd Ste 200
Glendale, CA 91208-1402

Mailing address

1809 Verdugo Blvd Ste 200
Glendale, CA 91208-1402
Phone (818) 790-4730

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
I20190815002499 CA Practitioner - Family Practice 2365779162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew Lew MD IncGroup PAC ID 0941746341, 4 clinicians

Practice addresses (Care Compare)

1809 Verdugo Blvd
Glendale, CA 91208-1402
Phone (818) 790-4730

Hospital & facility affiliations

  • Primary Care Homehealthcare Inc Home health agency, Van Nuys, CA, CCN 559298
  • Total Home Health Home health agency, Glendale, CA, CCN 557468
  • Everett Home Health Home health agency, Burbank, CA, CCN 757046
  • Mount Zion Hospice Care, Inc Hospice, Glendale, CA, CCN A11597
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157888CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund H. Lew, MD, Inc Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Matthew Lew, MD Inc Family Medicine CurrentSince Jun 21, 2024 Accepting new patients

Locations

1809 Verdugo Blvd
Ste 200
Glendale, CA 91208
Phone (818) 790-4730

1505 Wilson Ter
Ste 250
Glendale, CA 91206
Phone (818) 246-7115

Interoperability endpoints

  • Direct secure messaging: matthew.lew.1@4311.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 5

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1356792907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-4730",
            "fax_number": "818-790-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-790-4730",
            "fax_number": "818-790-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.