Active NPI
Jay Robert Lentzner, M.D.
- Psychiatry Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A93210
- Practice address
- 1630 Park Ave Apt 5
Long Beach, CA 90815-3869 - Phone
- (562) 597-1859
- Fax
- (562) 597-8210
- NPI assigned
- Nov 7, 2007
- Last updated
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A93210 | CA | Primary |
Addresses
Primary practice location
1630 Park Ave Apt 5
Long Beach, CA 90815-3869
Mailing address
1630 Park Ave Apt 5
Long Beach, CA 90815-3869
Phone (562) 597-1859
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
- Psychiatry
- Education
- Albany Medical College of Union University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93210 | CA | MD | Psychiatry Physician |
| 93210 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc. | Psychiatry | Current | Accepting new patients |
| The Roads Foundation, Inc | Current | Accepting new patients | |
| The Department of Psychiatry | Psychiatry | Current | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155
4525 E Atherton St
Fl 2
Long Beach, CA 90815
Phone (562) 422-2240
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ROADS Community Clinic - East Long Beach
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
-
dba UCI Department of Psychiatry
- Psychiatry Physician
- Orange, CA
- NPI 1831159003
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1982884904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 PARK AVE APT 5",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153869",
"telephone_number": "562-597-1859",
"fax_number": "562-597-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 PARK AVE APT 5",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153869",
"telephone_number": "562-597-1859",
"fax_number": "562-597-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZNER",
"first_name": "JAY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A93210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.