Clarissa Lechuga

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57524 Issued in CA

Practice address

5101 Florence Ave Ste 4
Bell, CA 90201-3801

Phone

(323) 797-2635

Fax

(323) 560-3374

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: clechuga597947@direct.ochin.org

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.

• Eric Roberto Batres Medical Corporation

  • Family Medicine Physician
  • Bell, CA
  • NPI 1083735203
  Medicare reassignment
• Clinica Monsignor Oscar a Romero

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1275629495
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1649816497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16608 STOWERS AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031414",
            "telephone_number": "562-665-6093",
            "fax_number": "323-560-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FLORENCE AVE STE 4",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013801",
            "telephone_number": "323-797-2635",
            "fax_number": "323-560-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHUGA",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083735203",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bell",
            "affiliation": "N",
            "address_1": "5101 Florence Ave Ste 4",
            "city": "Bell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902013801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Andrea Jimenez Lacayo, PA-C
• Lalezarzadeh DDS Corporation
• Farhad Lalezarzadeh, DDS
• Jose Milton Lara, M.D.
• Monica Lara, PA-C
• Chang Joon Lee, M.D.
• Kyong Mu Lee, DDS
• Maria Lemus, FNP
• Cecilia Leon
• Wilson Kenneth Leung, DMD

• Physician Assistant in Bell, CA
• Providers in Bell, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.