Individual provider Active NPI

Bruce Edward Lohman, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1730101619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G30389 Issued in CA
Practice address
2128 Micheltorena St
Los Angeles, CA 90039-3019
Phone
(323) 664-9738
Fax
(323) 664-9738
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G30389 CA Primary

Addresses

Primary practice location

2128 Micheltorena St
Los Angeles, CA 90039-3019

Mailing address

PO Box 39551
Los Angeles, CA 90039-0551
Phone (323) 664-9738

Other identifiers 1

IdentifierTypeStateIssuer
00G30389MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000591 CA Practitioner - Emergency Medicine 7416019054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

335 E Ave I
Lancaster, CA 93535-1916
Phone (661) 471-4232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30389CAMDClinical Psychologist
G30389CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Sep 18, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Sep 18, 2015 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

44900 60th St W
Lancaster, CA 93536
Phone (661) 945-8413

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

Organizations & group practices 3

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730101619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39551",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900390551",
            "telephone_number": "323-664-9738",
            "fax_number": "323-664-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MICHELTORENA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393019",
            "telephone_number": "323-664-9738",
            "fax_number": "323-664-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G30389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G30389",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.