Organization Active NPI

Mark Lembersky D P M a Professional Corporation

  • Podiatric Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1811083389
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
MARK LEMBERSKY D P M A PROFESSIONAL CORPORATION
Practice address
948 N Faifax Ave Unit 201
West Hollywood, CA 90046-7261
Phone
(818) 566-6668
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. Mark Lembersky, D P MNPI 1215914841
Title
President
Phone
(818) 566-6668

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

948 N Faifax Ave Unit 201
West Hollywood, CA 90046-7261

Mailing address

5225 White Oak Ave #4
Mark Lembersky DPM Apc
Encino, CA 91316
Phone (818) 566-6668

Other identifiers 1

IdentifierTypeStateIssuer
000E40570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060114000107 CA Part B Supplier - Clinic/Group Practice 9133143365 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1811083389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WHITE OAK AVE #4",
            "address_2": "MARK LEMBERSKY DPM APC",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-566-6668",
            "fax_number": "818-566-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 N FAIFAX AVE UNIT 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467261",
            "telephone_number": "818-566-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEMBERSKY D P M A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "LEMBERSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-566-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D P M"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.