Individual provider Active NPI

Jamie Ann Lubawski, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1649436130
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A116310 Issued in CA
Practice address
1955 N Berendo St
Los Angeles, CA 90027-1801
Phone
(913) 568-9145
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125051542 IL
Anesthesiology Physician 207L00000X A116310 CA Primary

Addresses

Primary practice location

1955 N Berendo St
Los Angeles, CA 90027-1801

Mailing address

1955 N Berendo St
Los Angeles, CA 90027-1801
Phone (913) 568-9145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051542ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pri Chicago PLLC CurrentSince Jan 11, 2022 Accepting new patients
Priority Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

Organizations & group practices 2

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1649436130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 N BERENDO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271801",
            "telephone_number": "913-568-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 N BERENDO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271801",
            "telephone_number": "913-568-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAWSKI",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125051542",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A116310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.