Organization Active NPI

Dennis Patrick Lewis,MD,

  • Family Medicine Physician
  • Valencia, CA
National Provider Identifier
1710183140
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G78417 Issued in CA
Legal business name
DENNIS PATRICK LEWIS,MD,
Practice address
23823 Valencia Blvd
Suite #160
Valencia, CA 91355-9512
Phone
(661) 254-0026
Fax
(661) 254-1773
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Dennis Patrick Lewis, M.DNPI 1780608190
Title
MD
Phone
(661) 254-0026

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G78417 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
Suite #160
Valencia, CA 91355-9512

Mailing address

23823 Valencia Blvd
Suite #160
Valencia, CA 91355-9512
Phone (661) 254-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325001222 CA Part B Supplier - Clinic/Group Practice 3173415189 Receives reassigned benefits from 3 practitioners
Practice locations: Valencia, CA
O20100930046499 CA DME Supplier - Physician - General SurgeryDME Supplier - Physician - Family Practice 3173415189 Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

31905 Castaic Rd
Ste 110
Castaic, CA 91384
Phone (661) 254-0026

Practitioners & affiliated clinicians

Practitioners 3

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1710183140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE #160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE #160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS PATRICK LEWIS,MD,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "661-254-0026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G78417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.