Individual provider Active NPI

David M Lechuga, PHD

  • Clinical Psychologist
  • Lake Forest, CA
National Provider Identifier
1982712386
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10139 Issued in CA
Practice address
13 Orchard Road
Suite 103
Lake Forest, CA 92630-8321
Phone
(949) 837-3358
Fax
(949) 837-0274
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY606 HI
Clinical Neuropsychologist 103G00000X PSY10139 CA
Clinical Psychologist 103TC0700X 3274 AZ
Clinical Psychologist 103TC0700X PSY10139 CA Primary

Addresses

Primary practice location

13 Orchard Road
Suite 103
Lake Forest, CA 92630-8321

Mailing address

13 Orchard Road
Suite 103
Lake Forest, CA 92630-8321
Phone (949) 837-3358

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000314 CA Practitioner - Clinical Psychologist 2062412208 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

13 Orchard
Suite 103
Lake Forest, CA 92630-8321
Phone (949) 837-3358

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10139CAMDClinical Psychologist
PSY606HIMDClinical Psychologist
3274AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Clinical CurrentSince Apr 9, 2011 Accepting new patients
David M. Lechuga, PH.D., a.P.C. Clinical Neuropsychologist CurrentSince Jul 6, 2006 Accepting new patients

Locations

300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438

300 UCLA Medical Plz
Ste 2200
Los Angeles, CA 90095
Phone (310) 267-6810

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1982712386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ORCHARD ROAD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308321",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ORCHARD ROAD",
            "address_2": "SUITE 103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308321",
            "telephone_number": "949-837-3358",
            "fax_number": "949-837-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHUGA",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY606",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY10139",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3274",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.