Active NPI
Daniel James Lewis, MD.
- Internal Medicine Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A70094
- Practice address
- 18460 Roscoe Blvd
Northridge, CA 91325-4107 - Phone
- (818) 734-3625
- Fax
- (818) 734-3663
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70094 | CA | Primary |
Addresses
Primary practice location
18460 Roscoe Blvd
Northridge, CA 91325-4107
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A700940 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080215000387 | CA | Practitioner - Internal Medicine | 6204919103 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Facey Medical Foundation
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
14550 Soledad Canyon Rd
Canyon Country, CA 91387-2200
Phone (661) 250-5200
19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400
26357 McBean Pkwy
Valencia, CA 91355-4488
Phone (661) 222-2600
2655 1St St
Suite 325
Simi Valley, CA 93065-1581
Phone (805) 206-2000
9111 Corbin Ave
Northridge, CA 91324-2402
Phone (818) 743-5700
Hospital & facility affiliations
- Providence Home Health la County North
- Providence Holy Cross Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70094 | CA | MD | Internal Medicine Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients |
Locations
File 50670
Los Angeles, CA 90074
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
26357 McBean Pkwy
Ste 390
Santa Clarita, CA 91355
Phone (661) 222-2600
17909 Soledad Canyon Rd
Santa Clarita, CA 91387
Phone (661) 250-5200
18133 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 466-7700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
CA, Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Mission Hills, CA
- NPI 1194083824
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Burbank, CA
- NPI 1164429684
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1508974718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9602",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913469602",
"telephone_number": "818-837-5691",
"fax_number": "818-792-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18460 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254107",
"telephone_number": "818-734-3625",
"fax_number": "818-734-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A700940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.