Active NPI
Gracia Contaoi Lewis, M.D
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1386652600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A38978
- Practice address
- 2010 Wilshire Blvd
2ND Floor
Los Angeles, CA 90057-3507 - Phone
- (213) 483-9209
- Fax
- (213) 483-0250
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A38978 | CA | Primary |
Addresses
Primary practice location
2010 Wilshire Blvd
2ND Floor
Los Angeles, CA 90057-3507
Mailing address
1930 Wilshire Blvd
Suite 1100
Los Angeles, CA 90057-3605
Phone (213) 483-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A389780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38978 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Jayasinghe MD, Apc | Pediatrics | Past | Accepting new patients |
| Los Angeles Medical Center Foundation | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1710514930
Pediatrics
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1528209723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386652600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 WILSHIRE BLVD",
"address_2": "SUITE 1100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573605",
"telephone_number": "213-483-2620",
"fax_number": "213-483-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 WILSHIRE BLVD",
"address_2": "2ND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573507",
"telephone_number": "213-483-9209",
"fax_number": "213-483-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "GRACIA",
"middle_name": "CONTAOI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A38978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A389780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.