NPIMap

Individual provider Active NPI

Edmund H. Lew, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1528027836
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55213 Issued in CA
Practice address
1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476
Phone
(818) 246-7115
Fax
(877) 366-1148
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G55213 CA Primary

Addresses

Primary practice location

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476

Mailing address

1809 Verdugo Blvd Ste 350
Glendale, CA 91208-1476
Phone (818) 246-7115

Other identifiers 1

IdentifierTypeStateIssuer
00G552130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000831 CA Practitioner - Family Practice 0345321857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Medicine and Surgery, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edmund H Lew MD IncGroup PAC ID 9638421118, 2 clinicians

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 250
Glendale, CA 91206-4075
Phone (818) 246-7115

Hospital & facility affiliations

  • Verdugo Hills Home Care, Inc Home health agency, La Crescenta, CA, CCN 557407
  • Adventist Health Home Care Services Home health agency, Simi Valley, CA, CCN 057537
  • Purview Hospice and Palliative Care, Inc Hospice, Glendale, CA, CCN A01551
  • Solid Hospice Care, Inc. Hospice, Glendale, CA, CCN A11761
  • Adventist Health Home Care Services Hospice, Simi Valley, CA, CCN 551635
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Villa Scalabrini Special Care Nursing home, Sun Valley, CA, CCN 555862
  • La Crescenta Healthcare Center Nursing home, La Crescenta, CA, CCN 055960

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund H. Lew, MD, Inc Family Medicine CurrentSince Jan 11, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1809 Verdugo Blvd
Ste 350
Glendale, CA 91208
Phone (818) 790-8121

1505 Wilson Ter
Ste 250
Glendale, CA 91206
Phone (818) 246-7115

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: edmund.lew.1@30037.direct.athenahealth.com
  • Direct secure messaging: lewmedical@lm-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventist Health Home Care ServicesGlendale, CA, CCN 551635 Hospice Contracted Managing Employee
Operational/Managerial Control		 Sep 1, 2016
Sep 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1528027836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-246-7115",
            "fax_number": "877-366-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081476",
            "telephone_number": "818-246-7115",
            "fax_number": "877-366-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "EDMUND",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G552130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.