Organization Active NPI

Charles S Lane ,M.D., Inc.

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1396941720
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
CHARLES S LANE ,M.D., INC.
Practice address
8640 W 3Rd St
#300
Los Angeles, CA 90048-3323
Phone
(310) 858-0104
Fax
(310) 858-8107
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Charles S Lane, MD
Title
Owner
Phone
(310) 858-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

8640 W 3Rd St
#300
Los Angeles, CA 90048-3323

Mailing address

8640 W 3Rd St
#300
Los Angeles, CA 90048-3323
Phone (310) 858-0104

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ73226ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

8640 W 3rd St
Ste 300
Los Angeles, CA 90048
Phone (310) 659-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1396941720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 W 3RD ST",
            "address_2": "#300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483323",
            "telephone_number": "310-858-0104",
            "fax_number": "310-858-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 W 3RD ST",
            "address_2": "#300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483323",
            "telephone_number": "310-858-0104",
            "fax_number": "310-858-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S LANE ,M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-858-0104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ73226Z",
            "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 Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.