Individual provider Active NPI

Leonard Michael Lovitch, M.D.

  • Surgery Physician
  • Long Beach, CA
National Provider Identifier
1417928599
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G19446 Issued in CA
Practice address
4400 Myrtle Ave
Long Beach, CA 90807-2440
Phone
(562) 818-5848
Fax
(562) 426-6400
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G19446 CA Primary

Addresses

Primary practice location

4400 Myrtle Ave
Long Beach, CA 90807-2440

Mailing address

4400 Myrtle Ave
Long Beach, CA 90807-2440
Phone (562) 818-5848

Other identifiers 1

IdentifierTypeStateIssuer
00G19446MedicaidCA

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
I20250627002160 CA Practitioner - General Surgery 0941713507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G19446CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Surgeons Home Care Inc Surgery CurrentSince Apr 17, 2025 Accepting new patients

Locations

7840 Imperial Hwy
#B
Downey, CA 90242
Phone (213) 784-7918

1086 S Fairfax Ave
Los Angeles, CA 90019
Phone (424) 258-0124

955 Carrillo Dr
Ste 400
Los Angeles, CA 90048
Phone (818) 213-6325

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1417928599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MYRTLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072440",
            "telephone_number": "562-818-5848",
            "fax_number": "562-426-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MYRTLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072440",
            "telephone_number": "562-818-5848",
            "fax_number": "562-426-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVITCH",
        "first_name": "LEONARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G19446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G19446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.