NPIMap

Individual provider Active NPI

Philippe H. Lemoine, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Monica, CA
National Provider Identifier
1609878123
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G79758 Issued in CA
Practice address
2632 Wilshire Blvd Ste 512
Santa Monica, CA 90403-4623
Phone
(310) 303-5071
Fax
(310) 899-3825
NPI assigned
Aug 15, 2005
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G79758 CA Primary

Addresses

Primary practice location

2632 Wilshire Blvd Ste 512
Santa Monica, CA 90403-4623

Mailing address

2632 Wilshire Blvd Ste 512
Santa Monica, CA 90403-4623
Phone (310) 303-5071

Other identifiers 1

IdentifierTypeStateIssuer
1265693709MedicaidCA

Other names 1

  • Philippe H. Lemoine MD Apc Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071108000781 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6406831130 Practice locations: Santa Monica, CA
I20251122000858 ND Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6406831130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 5074
Sioux Falls, SD 57117

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79758CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Sep 11, 2025 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Sep 11, 2025 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Sanford Clinic North Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

801 Broadway N
Fargo, ND 58102
Phone (701) 234-2371

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: plemoine887577@direct.froedtert.com

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, 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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1609878123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 WILSHIRE BLVD STE 512",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034623",
            "telephone_number": "310-303-5071",
            "fax_number": "310-899-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 WILSHIRE BLVD STE 512",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034623",
            "telephone_number": "310-303-5071",
            "fax_number": "310-899-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "PHILIPPE",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G79758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265693709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIPPE",
            "last_name": "LEMOINE MD APC",
            "middle_name": "H.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.