KYLE RANDOLPH LEWIS (NPI# 1124173109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124173109 |
| Entity Type | Individual |
| Full Name | KYLE RANDOLPH LEWIS |
| Other Name | STEVEN RANDOLPH LEWIS JR. |
| Practice Address |
1605 Eastlake Ave Los Angeles CA 90033-1009 |
| Practice Telephone | 3232268826 |
| Practice Fax Number | 3232262992 |
| Mailing Telephone | 3232268826 |
| Mailing Fax Number | 3232262992 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838887 | Kyle Edward Lewis | Physical Therapist | 814 S Perry St Ste D, Castle Rock, CO 80104-1942 | 2019-09-02 |
| 1306491535 | Kyle Lewis | Chiropractor | 1395 N Military Trl, West Palm Beach, FL 33409-6016 | 2019-08-05 |
| 1457812232 | Kyle Lewis | Podiatrist | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-03-26 |
| 1538672514 | Kyle Lewis | Social Worker | 450 Humboldt St, Rochester, NY 14610-1114 | 2017-11-13 |
| 1134664188 | Kyle Lewis | Counselor | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2016-12-29 |
| 1013307826 | Kyle Lewis | Chiropractor | 591 N Shore Dr, Forest Lake, MN 55025-1217 | 2015-02-01 |
| 1457741688 | Kyle Lewis | Physician Assistant | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2015-01-26 |
| 1871911610 | Kyle Lewis | Emergency Medicine | 1800 East Park Ave, State College, PA 16803-1501 | 2014-03-30 |
| 1295099174 | Kyle Micheal Lewis | Radiology | 25 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2515 | 2012-06-26 |
| 1902017924 | Kyle Lewis | Ophthalmology | 2500 N State St, Dept. of Ophthalmology, Jackson, MS 39216-4500 | 2007-05-24 |
| Street Address |
1605 EASTLAKE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265456677 | Los Angeles County Department of Mental Health | Clinic/Center | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2006-07-27 |
| 1083233837 | Sinnamonn Garrett | Counselor | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2020-04-12 |
| 1932747037 | Victor Hugo Cobar | Rehabilitation Practitioner | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2019-12-19 |
| 1316581192 | Dominique Trevizo Nguyen | Rehabilitation Practitioner | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2019-11-04 |
| 1801398854 | Danielle Dyer | Marriage & Family Therapist | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2018-03-06 |
| 1942759097 | Nicole Casimiro | Marriage & Family Therapist | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2016-09-30 |
| 1033587431 | Donna Perez | Social Worker | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2015-09-02 |
| 1114323094 | Conchita Ortega | Social Worker | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2014-11-05 |
| 1114331139 | County of Los Angeles Department of Mental Health | Point of Service | 1605 Eastlake Ave, 2nd Floor, Los Angeles, CA 90033-1009 | 2014-06-18 |
| 1376977470 | Kyle David Bosshart | Student in an Organized Health Care Education/Training Program | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on KYLE RANDOLPH LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.