NPIMap

Individual provider Active NPI

Daniel Richard Lewis, M.D.

  • Hematology & Oncology Physician
  • San Luis Obispo, CA
National Provider Identifier
1598749079
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G57020 Issued in CA
Practice address
715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068
Phone
(805) 543-5577
Fax
(805) 595-3231
NPI assigned
Nov 30, 2005
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G57020 CA Primary

Addresses

Primary practice location

715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068

Mailing address

715 Tank Farm Rd Ste C
San Luis Obispo, CA 93401-7068
Phone (805) 543-5577

Other practice location 1

1023 Pacific St
San Luis Obispo, CA 93401-3623
Phone (805) 543-3350

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
I20100205000194 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8123161684 Reassigns benefits to 1 organization
Practice locations: San Luis Obispo, CA

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

715 Tank Farm Rd
Suite C
San Luis Obispo, CA 93401-7068
Phone (805) 543-5577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57020CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 6, 2022 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 6, 2022 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

715 Tank Farm Rd
Ste C
San Luis Obispo, CA 93401
Phone (805) 543-5577

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1598749079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TANK FARM RD STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017068",
            "telephone_number": "805-543-5577",
            "fax_number": "805-595-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 TANK FARM RD STE C",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017068",
            "telephone_number": "805-543-5577",
            "fax_number": "805-595-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Pacific St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013623",
            "country_code": "US",
            "telephone_number": "805-543-3350",
            "fax_number": "805-549-9653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G57020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.