Individual provider Active NPI

Patricia Marie Lutfy, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Crescent City, CA
National Provider Identifier
1497024061
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
133725 Issued in CA
Practice address
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone
(707) 464-8989
NPI assigned
Dec 27, 2011
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 133725 CA Primary

Addresses

Primary practice location

800 E Washington Blvd
Crescent City, CA 95531-8359

Mailing address

616 FM 1960 W
230
Houston, TX 77090
Phone (281) 724-3050

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
I20150811004817 CA Practitioner - Physical Medicine and Rehabilitation 1355656943 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133725CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrasco Podiatry Corporation CurrentSince Feb 16, 2022 Accepting new patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2017 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Sep 1, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation CurrentSince Sep 1, 2016 Accepting new patients
Providence Podiatry Care, Inc CurrentSince Feb 18, 2022 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation Current Accepting new patients
Wound MD PC CurrentSince Jul 29, 2019 Accepting new patients

Locations (25 of 28)

2211 Mount Vernon Ave
Bakersfield, CA 93306
Phone (502) 596-7588

6010 Hidden Valley Rd
Ste 110
Carlsbad, CA 92011
Phone (760) 607-5350

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

340 Fourth Ave
Ste 19
Chula Vista, CA 91910
Phone (619) 427-2411

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

12023 Lakewood Blvd
Downey, CA 90242
Phone (562) 869-0978

1340 E Madison Ave
El Cajon, CA 92021
Phone (619) 441-1020

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

1665 M St
Fresno, CA 93721
Phone (559) 268-5361

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

1565 Hill Rd
Novato, CA 94947
Phone (415) 461-9700

1400 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 351-0745

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

9020 Garfield St
Riverside, CA 92503
Phone (951) 688-8200

600 Sunrise Ave
Roseville, CA 95661
Phone (916) 782-3131

350 Iris Dr
Salinas, CA 93906
Phone (831) 449-1515

3434 Midway Dr
Ste 2001
San Diego, CA 92110
Phone (619) 226-8871

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161

1209 Hemlock Way
Santa Ana, CA 92707
Phone (714) 546-1966

1311 E Date St
Sn Bernrdno, CA 92404
Phone (909) 543-5387

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1497024061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FM 1960 W",
            "address_2": "230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-724-3050",
            "fax_number": "281-724-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318359",
            "telephone_number": "707-464-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTFY",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "133725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.