Individual provider Active NPI

William R Lenaburg, M.D.

  • Family Medicine Physician
  • Encino, CA
National Provider Identifier
1871562496
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51103 Issued in CA
Practice address
16661 Ventura Blvd
Suite 108
Encino, CA 91436-1914
Phone
(818) 808-2828
Fax
(818) 788-0386
NPI assigned
Mar 16, 2006
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G51103 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
Suite 108
Encino, CA 91436-1914

Mailing address

16661 Ventura Blvd
Suite 108
Encino, CA 91436-1914
Phone (818) 808-2828

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
I20170310000916 CA Practitioner - Family Practice 0143504167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51103CAMDPharmacist
G51103CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Jul 1, 2021 Accepting new patients
Anaheim Urgent Care, Inc. Family Medicine Current Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300

16661 Ventura Blvd
Ste 108
Encino, CA 91436
Phone (818) 808-2828

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

16818 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 370-0317

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

215 N Allen Ave
Pasadena, CA 91106
Phone (323) 798-5158

524 Colorado Ave
Santa Monica, CA 90401
Phone (310) 260-2917

Interoperability endpoints

  • Direct secure messaging: william.lenaburgmdl.p1@direct.jwch.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1871562496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-808-2828",
            "fax_number": "818-788-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-808-2828",
            "fax_number": "818-788-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENABURG",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.