Active NPI
Linda A Lewis, P.A.
- Medical Physician Assistant
- Los Angeles, CA
National Provider Identifier
1477714020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10179
- Practice address
- 5260 S Figueroa St
110
Los Angeles, CA 90037-3743 - Phone
- (323) 230-7453
- Fax
- (323) 230-8584
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10179 | CA | |
| Medical Physician Assistant | 363AM0700X | PA10179 | CA | Primary |
Addresses
Primary practice location
5260 S Figueroa St
110
Los Angeles, CA 90037-3743
Mailing address
5260 S Figueroa St
110
Los Angeles, CA 90037-3743
Phone (323) 230-7453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA10179 | Other | CA | PHYSICIAN ASSISTANT COMMITTEE, MEDICAL BOARD OF CALIFORNIA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10179 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amini Medical Care, Inc. | Medical | Past | Accepting new patients |
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.
-
- Medical Physician Assistant
- Inglewood, CA
- NPI 1639406101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1477714020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 S FIGUEROA ST",
"address_2": "110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373743",
"telephone_number": "323-230-7453",
"fax_number": "323-230-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5260 S FIGUEROA ST",
"address_2": "110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373743",
"telephone_number": "323-230-7453",
"fax_number": "323-230-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LINDA",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10179",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA10179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT COMMITTEE, MEDICAL BOARD OF CALIFORNIA",
"identifier": "PA10179",
"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 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.