Organization Active NPI

Frank R. Lusher, M.D., Inc.

  • Specialist
  • Mission Hills, CA
National Provider Identifier
1932432929
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C33258 Issued in CA
Legal business name
FRANK R. LUSHER, M.D., INC.
Practice address
15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766
Phone
(818) 894-5616
Fax
(818) 893-4872
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Ms. Evelyn R. Delgadillo
Title
Office Manager/Cfo
Phone
(818) 894-5616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C33258 CA Primary

Addresses

Primary practice location

15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120921000571 CA Part B Supplier - Clinic/Group Practice 3971751652 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Hills, CA; Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1932432929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "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 ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK R. LUSHER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DELGADILLO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER/CFO",
        "authorized_official_telephone_number": "818-894-5616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C33258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.