NPIMap

Individual provider Active NPI

Michael Alan Fischman, M.D.

  • Nephrology Physician
  • Lakewood, CA
National Provider Identifier
1710326558
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A155691 Issued in CA
Practice address
3300 E South St Ste 308
Lakewood, CA 90805-4598
Phone
(562) 630-3111
Fax
(562) 630-3107
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X A155691 CA Primary

Addresses

Primary practice location

3300 E South St Ste 308
Lakewood, CA 90805-4598

Mailing address

3300 E South St Ste 308
Lakewood, CA 90805-4598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180614001196 CA Practitioner - Nephrology 6305754102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Renal Medical Group IncGroup PAC ID 3476580838, 8 clinicians

Practice addresses (Care Compare)

3300 E S St
Suite 308
Lakewood, CA 90805-4598
Phone (562) 630-3111

Hospital & facility affiliations

  • DaVita Iowa Street Dialysis Dialysis facility, Downey, CA, CCN 552639
  • DaVita Nephron Dialysis Dialysis facility, Long Beach, CA, CCN 052788
  • Fresenius Medical Care of Mid-Wilshire Dialysis facility, Los Angeles, CA, CCN 552584
  • DaVita Wilshire Dialysis Center Dialysis facility, Los Angeles, CA, CCN 052631
  • Fresenius Medical Care Norwalk East Dialysis facility, Santa Fe Springs, CA, CCN 552641
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155691CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Renal Medical Group, Inc Nephrology CurrentSince May 1, 2018 Accepting new patients
Southland Renal Medical Group, Inc. Nephrology Current Accepting new patients
Southland Renal Medical Group, Inc Nephrology CurrentSince May 1, 2018 Accepting new patients
Southland Renal Medical Group, Inc. Nephrology Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

11480 Brookshire Ave
Ste 110
Downey, CA 90241
Phone (562) 861-0336

3300 E South St
Ste 308
Lakewood, CA 90805

4152 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 598-0600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mfischman494913@direct.memorialcare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1710326558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 308",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 308",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054598",
            "telephone_number": "562-630-3111",
            "fax_number": "562-630-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A155691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.