JOHN CLARENCE LIPHAM MD
NPI 1639100845
Surgery in Los Angeles, CA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033(323) 442-9062 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2020, Mar 14, 2019, Mar 5, 2019 (3 updates tracked since 2019).

About John Clarence Lipham Md NPPES

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

JOHN CLARENCE LIPHAM MD (NPI 1639100845) is an individual surgery provider in Los Angeles, California, licensed in California (A62161) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1639100845
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN CLARENCE LIPHAMCredential: MD
Location Address1450 SAN PABLO ST STE 6200Los Angeles, CA 90033
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-9062
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1995
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1639100845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A62161
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1450 SAN PABLO ST STE 6200, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Clarence Lipham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800893355
PECOS Enrollment IDI20061026000299
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.

Medicare Billing Reassignment

Medicare enrollment records show John Lipham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
170 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services53 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
40 services30 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
36 services25 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Physician Assistant (Medical)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Surgery (Surgical Oncology)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033

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 John Lipham's NPI number?

The NPI number for John Lipham is 1639100845. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is John Lipham located?

John Lipham practices at 1450 San Pablo St Ste 6200, Los Angeles, CA 90033. The listed phone number is (323) 442-9062.

What is John Lipham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Lipham enrolled in Medicare?

Yes. John Lipham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Lipham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lipham reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lipham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Lipham was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.