Individual provider Active NPI

Frank R Lusher, MD

  • Dermatology Physician
  • Mission Hills, CA
National Provider Identifier
1912096280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C33258 Issued in CA
Practice address
15336 Devonshire Street
#1
Mission Hills, CA 91345
Phone
(818) 894-5616
Fax
(818) 893-4872
NPI assigned
Oct 12, 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
Dermatology Physician 207N00000X C33258 CA Primary

Addresses

Primary practice location

15336 Devonshire Street
#1
Mission Hills, CA 91345

Mailing address

15336 Devonshire Street
#1
Mission Hills, CA 91345
Phone (818) 894-5616

Other identifiers 1

IdentifierTypeStateIssuer
8546517MedicaidCA

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
I20120921000612 CA Practitioner - Dermatology 7416105101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank R. Lusher, M.D., Inc.Group PAC ID 3971751652, 2 clinicians

Practice addresses (Care Compare)

15336 Devonshire St
Suite 1
Mission Hills, CA 91345-2766
Phone (818) 894-5616

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions1101
Removal of skin cancer109
Removal of nail tissue1-10
Skin biopsy232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33258CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank R. Lusher, M.D., Inc. Dermatology CurrentSince Jan 1, 1973 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

15336 Devonshire St
Ste 1
Mission Hills, CA 91345
Phone (818) 894-5616

41230 11th St W
Ste E
Palmdale, CA 93551
Phone (661) 273-1614

23206 Lyons Ave
Ste 104
Santa Clarita, CA 91321
Phone (661) 254-7400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912096280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE STREET",
            "address_2": "#1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE STREET",
            "address_2": "#1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSHER",
        "first_name": "FRANK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C33258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8546517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.