Individual provider Active NPI

Lawrence Allen Feiwell, M.D.

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1932201787
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G59223 Issued in CA
Practice address
3742 Katella Ave
Suite 401
Los Alamitos, CA 90720-3102
Phone
(562) 431-4800
Fax
(562) 431-4813
NPI assigned
Sep 2, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G59223 CA Primary

Addresses

Primary practice location

3742 Katella Ave
Suite 401
Los Alamitos, CA 90720-3102

Mailing address

3742 Katella Ave
Suite 401
Los Alamitos, CA 90720-3102
Phone (562) 431-4800

Other identifiers 3

IdentifierTypeStateIssuer
G59223OtherCAMEDICAL LICENSE
G59223OtherCACA MEDICAL LICENSE
00G592230MedicaidCA

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
I20111220000831 CA Practitioner - Orthopedic Surgery 7416994512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3742 Katella Ave
Suite 401
Los Alamitos, CA 90720-3102
Phone (562) 431-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59223CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feiwell Medical Evaluations Orthopaedic Surgery CurrentSince Jan 5, 2012 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients

Locations

3742 Katella Ave
Los Alamitos, CA 90720

3742 Katella Ave
Ste 401
Los Alamitos, CA 90720
Phone (562) 431-4800

Interoperability endpoints

  • Direct secure messaging: lawrence.feiwell@1472.chartlogic.direct-ci.com

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, 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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1932201787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-431-4800",
            "fax_number": "562-431-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203102",
            "telephone_number": "562-431-4800",
            "fax_number": "562-431-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIWELL",
        "first_name": "LAWRENCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G59223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G59223",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G59223",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G592230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.