Individual provider Active NPI

Lewis Gass, M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1982746988
Registry record updated Nov 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AFE19285 Issued in CA
Practice address
810 N Camden Dr
Beverly Hills, CA 90210-3026
Phone
(310) 275-6991
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AFE19285 CA Primary

Addresses

Primary practice location

810 N Camden Dr
Beverly Hills, CA 90210-3026

Mailing address

810 N Camden Dr
Beverly Hills, CA 90210-3026
Phone (310) 275-6991

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ444442MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AFE19285CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446940800000",
    "number": "1982746988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N CAMDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103026",
            "telephone_number": "310-275-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N CAMDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103026",
            "telephone_number": "310-275-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASS",
        "first_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "AFE19285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ444442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.