Individual provider Active NPI

Kathryn Lewis, MD

  • Ophthalmology Physician
  • Anaheim, CA
National Provider Identifier
1992334262
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A193325 Issued in CA
Practice address
500 S Anaheim Hills Rd Ste 234
Anaheim, CA 92807-4760
Phone
(800) 898-2020
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A193325 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

500 S Anaheim Hills Rd Ste 234
Anaheim, CA 92807-4760

Mailing address

500 S Anaheim Hills Rd Ste 234
Anaheim, CA 92807-4760
Phone (800) 898-2020

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-3555

Other practice location 2

3816 Woodruff Ave Ste 100
Long Beach, CA 90808-2145
Phone (562) 424-0931

Other practice location 3

12828 Harbor Blvd Ste 305
Garden Grove, CA 92840-5835
Phone (714) 534-8100

Other practice location 4

5451 La Palma Ave Ste 44
LA Palma, CA 90623-1732
Phone (714) 521-2290

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605000630 CA Practitioner - Ophthalmology 8628510765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Un of California, Riverside, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 S Anaheim Hills Rd
Suite 234
Anaheim, CA 92807-4760
Phone (714) 921-0232

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193325CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Oct 20, 2024 Accepting new patients
John Muir Health Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

288 N Santa Anita Ave
Ste 402
Arcadia, CA 91006
Phone (626) 269-5371

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

12828 Harbor Blvd
Ste 330
Garden Grove, CA 92840
Phone (714) 534-8100

12828 Harbor Blvd
Ste 305
Garden Grove, CA 92840
Phone (714) 534-8100

5451 La Palma Ave
Ste 44
La Palma, CA 90623
Phone (714) 521-2290

3816 Woodruff Ave
Ste 100
Long Beach, CA 90808
Phone (562) 424-0931

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

1403 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 633-1338

3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1992334262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 234",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074760",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 234",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074760",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-3555",
            "fax_number": "210-702-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3816 Woodruff Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082145",
            "country_code": "US",
            "telephone_number": "562-424-0931",
            "fax_number": "562-492-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12828 Harbor Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928405835",
            "country_code": "US",
            "telephone_number": "714-534-8100",
            "fax_number": "714-534-1345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5451 La Palma Ave Ste 44",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231732",
            "country_code": "US",
            "telephone_number": "714-521-2290",
            "fax_number": "714-521-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A193325",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.