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DR. CONNIE J LANE M.D.
NPI 1467534750
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since October 19, 2006PECOS Enrolled
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(310) 966-6523(310) 231-0764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connie J Lane M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONNIE J LANE M.D. (NPI 1467534750) is an individual psychiatry provider in Los Angeles, California, licensed in California (A87503) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467534750
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CONNIE J LANECredential: M.D.
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (310) 966-6523 · Fax (310) 231-0764
Phone(310) 966-6523
Fax(310) 231-0764
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467534750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A87503
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11080 W OLYMPIC BLVD, Los Angeles, CA 90064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connie J Lane M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE NICOLE VENEGAS
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 523-9193
KECIA MCDANIEL OTR
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DOLORES J GONZALEZ
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 388-1038
SOPHIA DANIELS
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MARIA FERNANDA BLANCO MENDOZA
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MR. EDWARD BURGOS NINO NP
Nurse Practitioner (Psychiatric/Mental Health)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 913-4310
DR. KENNETH S. CHUANG M.D.
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6513
MRS. JOVANA GOMEZ
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Lane's NPI number?

The NPI number for Connie Lane is 1467534750. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Connie Lane located?

Connie Lane practices at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (310) 966-6523.

What is Connie Lane's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Connie Lane enrolled in Medicare?

Yes. Connie Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Lane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.