Charles Lewis MD Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C33286 Issued in CA

Legal business name

CHARLES LEWIS MD PROFESSIONAL CORPORATION

Practice address

8318 University Ave
Suite A5
La Mesa, CA 91942-3865

Phone

(619) 579-2187

Fax

(619) 579-2187

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie E Shell

Title

Billing Agent

Phone

(760) 539-7700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Charles L Lewis, M.D.

  • Psychiatry Physician
  • La Mesa, CA
  • NPI 1346271194
  Medicare reassignment NPD

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1972780575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429358",
            "telephone_number": "619-579-2187",
            "fax_number": "619-579-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423865",
            "telephone_number": "619-579-2187",
            "fax_number": "619-579-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES LEWIS MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "760-539-7700"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9115",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C33286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maude Charles
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• David Chau
• Tina S Chen, M.D.
• Patricia Ann Cheney, NURSE PRACTITIONER

• Psychiatry Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.