Active NPI
Michael Aaron Lalezarian
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A109360
- Practice address
- 1082 Glendon Ave
Los Angeles, CA 90024-2908 - Phone
- (310) 906-2270
- Fax
- (310) 861-8824
- NPI assigned
- Jun 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A109360 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A109360 | CA |
Addresses
Primary practice location
1082 Glendon Ave
Los Angeles, CA 90024-2908
Mailing address
127 N Gardner St
Los Angeles, CA 90036-2719
Phone (310) 301-6800
Other practice location 1
1411 S Garfield Ave Ste 303
Alhambra, CA 91801-5043
Phone (310) 906-2270
Other practice location 2
1520 N Mountain Ave Unit E-205
Ontario, CA 91762-1128
Phone (310) 906-2270
Other practice location 3
930 W Main St
Barstow, CA 92311-2654
Phone (310) 906-2270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59332 | Other | AZ | LICENSE |
| 0A1093600 | Medicaid | CA | |
| A109360 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110223000246 | CA | Practitioner - Diagnostic Radiology | 6709067812 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Geffen School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wallace G Gosney MD and Gilbert R Turner MD PTRS
Practice addresses (Care Compare)
14445 Olive View Dr
Sylmar, CA 91342-1437
Phone (760) 515-1000
510 N 13TH Ave
Upland, CA 91786-4973
Phone (760) 515-1000
510 N 13TH Ave
204 Upland Surg Assoc
Upland, CA 91786-4965
Phone (909) 920-0525
Hospital & facility affiliations
- Atlantic Home Health Care, Inc.
- Vanura Home Health Services, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.7 of 100
- Quality
- 31.67
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 82.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 123 |
| Leg revascularization (restoring blood flow) | 227 |
| Removal of tissue | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (23 of 24)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abid Hameed Khan MD Professional Corporation | Current | Accepting new patients | |
| University Vascular Associates Inc. | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Wallace G Gosney MD & Gilbert R Turner MD PTRS | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Antelope Valley Outpatient Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Michael Aaron Lalezarian, MD Corp | Vascular & Interventional Radiology | Current | Accepting new patients |
| Care for Womens Medical Group Inc | Current | Accepting new patients | |
| Prosurgical Center LLC | Current | Accepting new patients | |
| M Aaron Lalezarian MD Corporation | Vascular & Interventional Radiology | Current | Accepting new patients |
| Care for Womens Medical Group Inc | Current | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| County of Ventura | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Antelope Valley Health Care District | Past | Accepting new patients | |
| Bear Valley Community Health Care District | Past | Accepting new patients | |
| Desert Valley Hospital, LLC | Past | Accepting new patients | |
| Universal Healthcare Services, Inc. | Past | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Locations (25 of 39)
1411 S Garfield Ave
Ste 302
Alhambra, CA 91801
Phone (626) 566-8105
1411 S Garfield Ave
Ste 303
Alhambra, CA 91801
Phone (626) 566-8105
16133 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-8491
930 W Main St
Barstow, CA 92311
Phone 7602561004306
9301 Wilshire Blvd
Ste 125
Beverly Hills, CA 90210
Phone (310) 722-7210
15944 Los Serranos Country Club Dr
Ste 230
Chino Hills, CA 91709
Phone (909) 355-7855
246 W College St
Ste 200
Covina, CA 91723
Phone (310) 906-2270
10800 Paramount Blvd
Ste 406
Downey, CA 90241
Phone (562) 862-1134
575 E Hardy St
Ste 322
Inglewood, CA 90301
Phone (310) 671-0488
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932
File 55737
Los Angeles, CA 90074
266 S Harvard Blvd
Ste 350
Los Angeles, CA 90004
Phone (213) 444-6255
1082 Glendon Ave
Los Angeles, CA 90024
Phone (310) 209-2011
4560 Admiralty Way
Ste 356
Marina del Rey, CA 90292
Phone (310) 822-8584
4950 San Bernardino St
Ste 106
Montclair, CA 91763
Phone (909) 625-0615
500 N Garfield Ave
Ste 304
Monterey Park, CA 91754
Phone (626) 288-1373
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
1001 W 6th St
Ste A
Ontario, CA 91762
Phone (909) 816-6258
1520 N Mountain Ave
Unit E205
Ontario, CA 91762
Phone (310) 906-2270
1520 N Mountain Ave
Ste 101
Ontario, CA 91762
1520 N Mountain Ave
Bldg E205
Ontario, CA 91762
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHIJAD/Endpoint/FHIJAD
Organizations & group practices 25
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.
-
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
- NPI 1891314290
CA, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
CA, Diagnostic Radiology
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
CA
-
- Vascular & Interventional Radiology Physician
- Montclair, CA
- NPI 1790508505
Vascular & Interventional Radiology
-
- Ambulatory Surgical Clinic/Center
- Covina, CA
- NPI 1578387825
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1437440864
CA
-
- Diagnostic Radiology Physician
- Lancaster, CA
- NPI 1376143339
Diagnostic Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Pasadena, CA
- NPI 1871171769
Home health agency
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1750336525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1023245230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362719",
"telephone_number": "310-301-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 GLENDON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242908",
"telephone_number": "310-906-2270",
"fax_number": "310-861-8824"
}
],
"practiceLocations": [
{
"address_1": "1411 S Garfield Ave Ste 303",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918015043",
"country_code": "US",
"telephone_number": "310-906-2270",
"fax_number": "310-861-8824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 N Mountain Ave Unit E-205",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917621128",
"country_code": "US",
"telephone_number": "310-906-2270",
"fax_number": "310-861-8824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "930 W Main St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923112654",
"country_code": "US",
"telephone_number": "310-906-2270",
"fax_number": "310-861-8824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LALEZARIAN",
"first_name": "MICHAEL",
"middle_name": "AARON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A109360",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A109360",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "59332",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0A1093600",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A109360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.