Individual provider Active NPI

Lee Jeffrey Horwitz, M.D.

  • Family Medicine Physician
  • Oakdale, CA
National Provider Identifier
1922096411
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76767 Issued in CA
Practice address
1425 W H St
Ste 200
Oakdale, CA 95361-3588
Phone
(209) 848-1005
Fax
(209) 845-8918
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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 A76767 CA Primary

Addresses

Primary practice location

1425 W H St
Ste 200
Oakdale, CA 95361-3588

Mailing address

1425 W H St
Ste 200
Oakdale, CA 95361-3588
Phone (209) 848-1005

Other identifiers 1

IdentifierTypeStateIssuer
00A767670MedicaidCA

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
I20070710000631 CA Practitioner - Family Practice 0547360208 Practice locations: Oakdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1425 W H St
Suite 330
Oakdale, CA 95361-3591
Phone (209) 845-7970

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Salida, CA, CCN 057695
  • Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76767CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lee.horwitz.1@33563.direct.athenahealth.com

Hospital & facility affiliations 4

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1922096411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W H ST",
            "address_2": "STE 200",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613588",
            "telephone_number": "209-848-1005",
            "fax_number": "209-845-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W H ST",
            "address_2": "STE 200",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613588",
            "telephone_number": "209-848-1005",
            "fax_number": "209-845-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWITZ",
        "first_name": "LEE",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A767670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.