NPIMap

Individual provider Active NPI

Kristen Lew, M.D

  • Internal Medicine Physician
  • Banning, CA
National Provider Identifier
1841617420
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A128750 Issued in CA
Practice address
6109 W.Ramsey Street
Banning, CA 92220
Phone
(951) 845-0313
NPI assigned
Mar 21, 2014
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A128750 CA Primary
Hospitalist Physician 208M00000X A128750 CA

Addresses

Primary practice location

6109 W.Ramsey Street
Banning, CA 92220

Mailing address

993 N Broadway
Los Angeles, CA 90012-1763
Phone (213) 625-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141108000079 CA Practitioner - Internal Medicine 0749402626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristen Lew MD Medical CorporationGroup PAC ID 5395115042, 3 clinicians

Practice addresses (Care Compare)

993 N Broadway
Suite a
Los Angeles, CA 90012-1764
Phone (909) 633-2999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128750CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maung Ni Medical Inc. CurrentSince Dec 1, 2022 Accepting new patients
Kristen Lew MD Medical Corporation Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Sep 2, 2014 Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince Sep 2, 2014 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Beaver Medical Group P C Internal Medicine Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313

1510 W Whittier Blvd
La Habra, CA 90631
Phone (626) 215-5132

993 N Broadway
Los Angeles, CA 90012
Phone (909) 633-2999

993 N Broadway
Ste A
Los Angeles, CA 90012
Phone (213) 625-7995

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 3

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1841617420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121763",
            "telephone_number": "213-625-7995",
            "fax_number": "213-615-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 W.RAMSEY STREET",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "92220",
            "telephone_number": "951-845-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "KRISTEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128750",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A128750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.