Carlos Alfredo Lavayen, DPT ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11297 Issued in CA

Practice address

26691 Plaza Drive Ste 205
Mission Viejo, CA 92691

Phone

(949) 367-1088

Fax

(949) 367-1042

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lavayen Physical Therapy Inc

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1588772792
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1003979493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA DRIVE STE 205 MISSION VIEJO CA 92691",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-367-1088",
            "fax_number": "949-367-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA DRIVE STE 205",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-367-1088",
            "fax_number": "949-367-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAYEN",
        "first_name": "CARLOS",
        "middle_name": "ALFREDO",
        "credential": "DPT ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Lasala, MD
• Justin Lasalle
• Joseph Latham, PSY.D.
• Laurence M Fakinos, MD Inc
• Lavayen Physical Therapy Inc
• Erin Lyn Lavinsky, L.AC.
• Alyson Lawrence, RD
• Connie Kacy Lawrence, PHARMD
• Andrew James Lawson, M.D.
• Du Le Khac, PHARM. D.

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.