Individual provider Active NPI

Lilia Regina Wexley, M.D

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1407868433
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45560 Issued in CA
Practice address
739 N Fairfax Ave
Los Angeles, CA 90046-7261
Phone
(323) 655-3933
Fax
(323) 655-9725
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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 A45560 CA Primary

Addresses

Primary practice location

739 N Fairfax Ave
Los Angeles, CA 90046-7261

Mailing address

739 N Fairfax Ave
Los Angeles, CA 90046-7261
Phone (323) 655-3933

Other identifiers 1

IdentifierTypeStateIssuer
00A455600MedicaidCA

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
I20070202000370 CA Practitioner - Family PracticePractitioner - General Practice 6103828256 Practice locations: Los Angeles, CA; Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Santa Monica Blvd
Suite 1
Santa Monica, CA 90404-2637
Phone (323) 655-3933

6200 Wilshire Blvd
Suite 908
Los Angeles, CA 90048-5810
Phone (323) 655-3933

Hospital & facility affiliations

  • Signature Home Health Care, Inc Home health agency, Beverly Hills, CA, CCN 059399
  • Mma Home Health Care, Inc Home health agency, Burbank, CA, CCN 559039
  • Professional Home Care Service Home health agency, Woodland Hills, CA, CCN 058444
  • All You Need Home Health Care, Inc. Home health agency, Burbank, CA, CCN 559663
  • Liverpool Home Care Services Home health agency, Pasadena, CA, CCN 559724
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yevgeny Bukrinsky Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wexleyheadachandmedicalclinic.liliawexley@147565.advancedmd-direct.com

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.

Hospital & facility affiliations 8

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1407868433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467261",
            "telephone_number": "323-655-3933",
            "fax_number": "323-655-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467261",
            "telephone_number": "323-655-3933",
            "fax_number": "323-655-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLEY",
        "first_name": "LILIA",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.