Pacific Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G40994 Issued in CA

Legal business name

PACIFIC MEDICAL GROUP

Practice address

48 N El Molino Ave
Suite 201
Pasadena, CA 91101-1861

Phone

(626) 796-8181

Fax

(626) 796-1874

NPI assigned

Apr 28, 2008

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan L Lewis, MDNPI 1912923004

Title

Physician/Owner

Phone

(626) 796-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan L Lewis, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1912923004
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1841465150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N EL MOLINO AVE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011861",
            "telephone_number": "626-796-8181",
            "fax_number": "626-796-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N EL MOLINO AVE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011861",
            "telephone_number": "626-796-8181",
            "fax_number": "626-796-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "626-796-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Clinics Children/Family Speciality PC
• Pacific Clinincs
• Pacific Coast Eye Specialists
• Pacific Home Care Services, Inc. (Homewatch Caregivers LA)
• Pacific Neuromodulation Inc
• Pacific Pace, LLC
• Pacific Pediatric Cardiology Medical Group Inc
• Pacific Reproductive Services, Inc.
• Pacific Trauma Treatment Center

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.