Individual provider Active NPI

Alicia Lwin, M.D.

  • Family Medicine Physician
  • Sun Valley, CA
National Provider Identifier
1780826792
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441837 Issued in PA
Practice address
7223 Fair Ave
Sun Valley, CA 91352-4964
Phone
(818) 432-4400
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A107142 CA
Family Medicine Physician 207Q00000X MD441837 PA Primary

Addresses

Primary practice location

7223 Fair Ave
Sun Valley, CA 91352-4964

Mailing address

5753 Wayne Ave
Philadelphia, PA 19144-3347

Other practice location 1

5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone (215) 848-8800

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
I20161027002482 CA Practitioner - Family Practice 5890973044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Valley Health CorporationGroup PAC ID 3173517323, 77 clinicians

Practice addresses (Care Compare)

12451 Gain St
Pacoima, CA 91331-1642
Phone (818) 897-2193

12540 Pierce St
Pacoima, CA 91331-1701
Phone (818) 897-2193

12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531

12759 Van Nuys Blvd
Pacoima, CA 91331-1627
Phone (818) 485-8250

13356 Eldridge Ave
Sylmar, CA 91342-3200
Phone (818) 362-6182

14624 Sherman Way
Van Nuys, CA 91405-2241
Phone (818) 988-6335

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086

7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570

7843 Lankershim Blvd
North Hollywood, CA 91605-2523
Phone (818) 826-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107142CAMDClinical Social Worker
A107142CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Sep 13, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Sep 13, 2016 Accepting new patients

Locations

7107 Remmet Ave
Canoga Park, CA 91303
Phone (818) 340-3570

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

7223 Fair Ave
Sun Valley, CA 91352
Phone (818) 432-4400

23413 Lyons Ave
Valencia, CA 91355
Phone (661) 593-7500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alicia.lwin.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 2

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1780826792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5753 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 FAIR AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524964",
            "telephone_number": "818-432-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5753 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191443347",
            "country_code": "US",
            "telephone_number": "215-848-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LWIN",
        "first_name": "ALICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107142",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.