Organization Active NPI

Gideon H. Lowe, III, M.D., Inc

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1649635988
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C33638 Issued in CA
Legal business name
GIDEON H. LOWE, III, M.D., INC
Practice address
1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421
Phone
(213) 413-1775
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dr. Gideon Lowe III, M.D.NPI 1356442974
Title
President
Phone
(213) 413-1775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X C33638 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 5600
Los Angeles, CA 90026-5421
Phone (213) 413-1775

Other identifiers 4

IdentifierTypeStateIssuer
00336380OtherCAMEDICARE PROVIDER #
C33638OtherCAPTAN
C33638OtherCAMEDICARE ID#
1356442974OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307001103 CA Part B Supplier - Clinic/Group Practice 4587960281 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; West Covina, CA; Long Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
Gideon H Lowe III MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1711 W Temple St
Ste 5600
Los Angeles, CA 90026
Phone (213) 413-1775

1495 W Cameron Ave
West Covina, CA 91790
Phone (626) 962-4461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1649635988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 5600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 5600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON H. LOWE, III, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-413-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C33638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "00336380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C33638",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "C33638",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356442974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.