Individual provider Active NPI

Lewis Vernon Webb, PH.D.

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1538241773
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9619 Issued in CA
Practice address
151 Kalmus Dr
K-3
Costa Mesa, CA 92626-5988
Phone
(800) 577-4701
Fax
(714) 474-2915
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY9619 CA Primary

Addresses

Primary practice location

151 Kalmus Dr
K-3
Costa Mesa, CA 92626-5988

Mailing address

711 Pacific Coast Hwy
433
Huntington Beach, CA 92648-5052
Phone (213) 305-2931

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329002077 CA Practitioner - Clinical Psychologist 9739527599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9619CAMDProfessional Counselor
PSY9619CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Jan 17, 2024 Accepting new patients

Locations

10800 Paramount Blvd
Ste 306
Downey, CA 90241
Phone (562) 480-1638

12377 Lewis St
Ste 105
Garden Grove, CA 92840
Phone (714) 823-4780

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

4049 Brockton Ave
Riverside, CA 92501
Phone (951) 300-8124

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1538241773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 PACIFIC COAST HWY",
            "address_2": "433",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485052",
            "telephone_number": "213-305-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR",
            "address_2": "K-3",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265988",
            "telephone_number": "800-577-4701",
            "fax_number": "714-474-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LEWIS",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.