Individual provider Active NPI

Brent Michael Lem, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1922366780
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A119419 Issued in CA
Practice address
1100 N State St
Clinic Tower A7D
Los Angeles, CA 90033-5000
Phone
(323) 409-6931
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A119419 CA Primary

Addresses

Primary practice location

1100 N State St
Clinic Tower A7D
Los Angeles, CA 90033-5000

Mailing address

1100 N State St
Clinic Tower A7D
Los Angeles, CA 90033-5000

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
I20160921001875 CA Practitioner - Pediatric Medicine 9638466592 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119419CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc CurrentSince Aug 2, 2016 Accepting new patients
Community Medical Centers Inc CurrentSince Aug 2, 2016 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Valley Children'S Hospital Past Accepting new patients
City & County of San Francisco Past Accepting new patients
Mission Area Health Associates Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: brent.lem.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: blem574585@direct.ochin.org

Organizations & group practices 8

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1922366780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "address_2": "CLINIC TOWER A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "address_2": "CLINIC TOWER A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000",
            "telephone_number": "323-409-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEM",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A119419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.