Individual provider Active NPI

Michael Aaron Lalezarian

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1023245230
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A109360 Issued in CA
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

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59332OtherAZLICENSE
0A1093600MedicaidCA
A109360OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 3 clinicians

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. Home health agency, Pasadena, CA, CCN 757255
  • Vanura Home Health Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 058181

Merit-based Incentive Payment System (MIPS)

Final score
80.7 of 100Reported as group
Quality
31.67
Promoting interoperability
86
Improvement activities
40
Cost
82.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal123
Leg revascularization (restoring blood flow)227
Removal of tissue256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (23 of 24)

OrganizationSpecialtyStatusNew patients
Abid Hameed Khan MD Professional Corporation CurrentSince Apr 1, 2017 Accepting new patients
University Vascular Associates Inc. CurrentSince Jun 1, 2017 Accepting new patients
The Regents of the University of California CurrentSince May 6, 2013 Accepting new patients
The Regents of the University of California CurrentSince May 6, 2013 Accepting new patients
Wallace G Gosney MD & Gilbert R Turner MD PTRS CurrentSince Sep 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Oct 3, 2018 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Michael Aaron Lalezarian, MD Corp Vascular & Interventional Radiology CurrentSince May 1, 2020 Accepting new patients
Care for Womens Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Prosurgical Center LLC CurrentSince Oct 30, 2024 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. PastSince Sep 3, 2025 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

  • FHIR API: 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.

View all 25

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.