Individual provider Active NPI

Gary N Lewkovich, DC

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1851497598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14971 Issued in CA
Practice address
940 W San Marcos Blvd
#B
San Marcos, CA 92078-1120
Phone
(760) 744-1881
Fax
(760) 744-2103
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14971 CA Primary

Addresses

Primary practice location

940 W San Marcos Blvd
#B
San Marcos, CA 92078-1120

Mailing address

940 W San Marcos Blvd
#B
San Marcos, CA 92078-1120
Phone (760) 744-1881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000676 CA Practitioner - Chiropractic 4789776964 Practice locations: San Marcos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

940 W San Marcos Blvd
B
San Marcos, CA 92078-1120

940 W San Marcos Blvd B
San Marcos, CA 92078-1120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851497598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W SAN MARCOS BLVD",
            "address_2": "#B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781120",
            "telephone_number": "760-744-1881",
            "fax_number": "760-744-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W SAN MARCOS BLVD",
            "address_2": "#B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781120",
            "telephone_number": "760-744-1881",
            "fax_number": "760-744-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWKOVICH",
        "first_name": "GARY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.