Kristen Lew MD Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KRISTEN LEW MD MEDICAL CORPORATION

Practice address

993 N Broadway
Los Angeles, CA 90012-1763

Phone

(909) 633-2999

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Lew, MDNPI 1841617420

Title

Owner

Phone

(909) 633-2999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Kristen Lew, M.D

  • Internal Medicine Physician
  • Banning, CA
  • NPI 1841617420
  Medicare reassignment Care Compare group NPD Authorized official
• Dinh Lai

  • Family Nurse Practitioner
  • Pomona, CA
  • NPI 1093123176
  Medicare reassignment Care Compare group NPD
• Hai Shan Lee

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1346834520
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1417677386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W WHITTIER BLVD # 88",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313617",
            "telephone_number": "909-633-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121763",
            "telephone_number": "909-633-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN LEW MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-633-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akhil Krishnan
• Anika Krishnan
• Shilpa Shaji Krishnan, PHARMD
• Srikanth Krishnan, M.D.
• Kristen Gardenhire
• Tyler Kristensen
• Kristi Kim Dental Corporation
• Apryll Lee Kristy
• Kenneth Kritboonyalai
• Mariya Kriv, LMFT

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.