Active NPI
Paul J. Lane, PH.D.
- Psychologist
- Torrance, CA
National Provider Identifier
1528125606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 6272
- Practice address
- 24445 Hawthorne Blvd
Ste 100
Torrance, CA 90505-6562 - Phone
- (310) 824-3500
- Fax
- (310) 373-6670
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 6272 | CA | Primary |
Addresses
Primary practice location
24445 Hawthorne Blvd
Ste 100
Torrance, CA 90505-6562
Mailing address
24445 Hawthorne Blvd
Ste 100
Torrance, CA 90505-6562
Phone (310) 824-3500
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000159 | CA | Practitioner - Clinical Psychologist | 8628264967 | Practice locations: Torrance, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3812 Sepulveda Blvd
Suite 520
Torrance, CA 90505-2470
Phone (310) 824-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 6272 | CA | MD | Psychologist |
| 6272 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528125606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24445 HAWTHORNE BLVD",
"address_2": "STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056562",
"telephone_number": "310-824-3500",
"fax_number": "310-373-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24445 HAWTHORNE BLVD",
"address_2": "STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056562",
"telephone_number": "310-824-3500",
"fax_number": "310-373-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "PAUL",
"middle_name": "J.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 6272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.