MR. EDMUND W LEWIS (NPI# 1225357791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225357791 |
| Entity Type | Individual |
| Full Name | MR. EDMUND W LEWIS |
| Practice Address |
13333 Palmdale Rd Victorville CA 92392-9364 |
| Practice Telephone | 7602414917 |
| Practice Fax Number | 7602418911 |
| Mailing Telephone | 7602414917 |
| Mailing Fax Number | 7602418911 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | RW2973 | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417095605 | Edmund E Lewis | Radiology | 900 S Auburn St, Kennewick, WA 99336-5621 | 2007-02-01 |
| 1881799195 | Edmund Lewis | Specialist | 1426 W Washington Blvd, Chicago, IL 60607-1821 | 2006-09-13 |
| 1104854421 | Edmund Geoffrey Lewis | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-06-28 |
| Street Address |
13333 PALMDALE RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-9364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881733095 | St. John of God Health Care Services | Substance Abuse Rehabilitation Facility | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2007-02-05 |
| 1194351783 | Derek Fowler | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2020-03-16 |
| 1437785946 | Leah Sanders | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2020-03-16 |
| 1215563739 | Kathleen Miller | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2020-03-16 |
| 1740816248 | Kevin O'rourke | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2020-03-16 |
| 1811544141 | Juan Salcedo | Community Health Worker | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2019-08-21 |
| 1790332021 | Rocio Zamora | Community Health Worker | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2019-08-21 |
| 1487218459 | William Black | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2019-04-25 |
| 1073047940 | Joseph Rivera | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2017-04-17 |
| 1023552445 | Anita Muntzel | Counselor | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2016-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1740300375 | Michele Renee Muirhead | Substance Abuse Rehabilitation Facility | 12346 Wedgewood Ln, Victorville, CA 92395-8844 | 2007-03-29 |
| 1881733095 | St. John of God Health Care Services | Substance Abuse Rehabilitation Facility | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2007-02-05 |
| 1336688191 | The Johnson Foundation Inc. | Substance Abuse Rehabilitation Facility | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2017-02-13 |
| 1942679006 | St. John of God Health Care Services | Substance Abuse Rehabilitation Facility | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2015-09-18 |
| 1578963880 | Vanessa Villa | Substance Abuse Rehabilitation Facility | 13333 Palmdale Rd, Victorville, CA 92392-9364 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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| 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.