Individual provider Active NPI

Lana Louie A. Wania-Galicia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Moorpark, CA
National Provider Identifier
1730166406
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A80078 Issued in CA
Practice address
865 Patriot Dr
Suite 201a
Moorpark, CA 93021-3407
Phone
(805) 222-4549
NPI assigned
Dec 23, 2005
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A80078 CA Primary

Addresses

Primary practice location

865 Patriot Dr
Suite 201a
Moorpark, CA 93021-3407

Mailing address

530 W Los Angeles Ave
Ste 115, Ms 343
Moorpark, CA 93021-1746
Phone (805) 222-4549

Other identifiers 1

IdentifierTypeStateIssuer
P00036928OtherCARAILROAD MEDICARE PIN

Other names 1

  • Lana Louie A. Wania-Galicia Professional name

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
I20080814000690 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4688749310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Spine InstituteGroup PAC ID 5496036550, 6 clinicians

Practice addresses (Care Compare)

1001 Newbury Rd
Thousand Oaks, CA 91320-6434
Phone (805) 379-2322

865 Patriot Dr
Suite 201
Moorpark, CA 93021-3405
Phone (805) 222-4549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.38 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
51.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Spine Institute CurrentSince Nov 21, 2023 Accepting new patients
Arroyo Vista Advanced Pain Specialists, Inc Pain Medicine CurrentSince Jun 4, 2013 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Xcelerate Physical Therapy Inc. Past Accepting new patients
Arroyo Vista Advanced Pain Specialists, Inc. Past Accepting new patients
St Charles Spine Institute Past Accepting new patients

Locations

530 New Los Angeles Ave
Ste 115
Moorpark, CA 93021

865 Patriot Dr
Ste 201
Moorpark, CA 93021
Phone (805) 222-4549

865 Patriot Dr
Ste 201A
Moorpark, CA 93021
Phone (805) 222-4549

1001 Newbury Rd
Thousand Oaks, CA 91320
Phone (805) 375-7900

1001 Newbury Rd
Ste 200
Thousand Oaks, CA 91320

558 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 379-2322

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7655/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lana.louie.wania-galicia.1@7655.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1730166406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W LOS ANGELES AVE",
            "address_2": "STE 115, MS 343",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211746",
            "telephone_number": "805-222-4549",
            "fax_number": "805-529-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR",
            "address_2": "SUITE 201A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-222-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANIA-GALICIA",
        "first_name": "LANA LOUIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A80078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00036928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA LOUIE",
            "last_name": "WANIA-GALICIA",
            "middle_name": "A.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.