Active NPI
Lisa Kyoo-Hae Hwang, M.D.
- Ophthalmology Physician
- Lancaster, CA
National Provider Identifier
1932376159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A104598
- Practice address
- 43112 15TH St W
Lancaster, CA 93534-6219 - Phone
- (646) 872-8649
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A104598 | CA | Primary |
Addresses
Primary practice location
43112 15TH St W
Lancaster, CA 93534-6219
Mailing address
1966 Alpha St
South Pasadena, CA 91030-4219
Phone (646) 872-8649
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York Medical College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3831 Hughes Ave
Suite 500
Culver City, CA 90232-6854
Phone (310) 838-3834
Hospital & facility affiliations
- Pih Health Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104598 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culver City Eye Institute, Inc. | Ophthalmology | Current | Accepting new patients |
| Riverside Medical Group PC | Past | Accepting new patients | |
| Lancaster Hospital Corporation | Past | Accepting new patients |
Locations
3831 Hughes Ave
Ste 500
Culver City, CA 90232
Phone (310) 838-3834
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- lhwang@ccei.intellechartdirect.net
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Culver City, CA
- NPI 1760689624
-
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1508821646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1932376159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 ALPHA ST",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304219",
"telephone_number": "646-872-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43112 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935346219",
"telephone_number": "646-872-8649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "LISA",
"middle_name": "KYOO-HAE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A104598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.