Organization Active NPI

Encompass Family and Internal Medicine Group Inc

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1033449640
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89608 Issued in CA
Legal business name
ENCOMPASS FAMILY AND INTERNAL MEDICINE GROUP INC
Practice address
7051 Alvarado Rd
201
La Mesa, CA 91942-8901
Phone
(619) 460-7775
Fax
(858) 519-5446
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Dr. Robert Berooz Lajvardi, M.D.NPI 1235187568
Title
Owner
Phone
(619) 460-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X A89608 CA Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X A89608 CA

Addresses

Primary practice location

7051 Alvarado Rd
201
La Mesa, CA 91942-8901

Mailing address

7051 Alvarado Rd
201
La Mesa, CA 91942-8901
Phone (619) 460-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000219 CA Part B Supplier - Clinic/Group Practice 8921140021 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

National Provider Directory

National Provider Directory

Locations

7051 Alvarado Rd
#201
La Mesa, CA 91942
Phone (619) 460-7775

7051 Alvarado Rd
Ste 201
La Mesa, CA 91942

7051 Alvarado Rd
Fl 2
La Mesa, CA 91942
Phone (619) 460-7775

7051 Alvarado Rd
La Mesa, CA 91942
Phone (619) 241-4063

222 E Plaza Blvd
National City, CA 91950
Phone (619) 474-8989

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1033449640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 ALVARADO RD",
            "address_2": "201",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428901",
            "telephone_number": "619-460-7775",
            "fax_number": "619-460-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 ALVARADO RD",
            "address_2": "201",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428901",
            "telephone_number": "619-460-7775",
            "fax_number": "858-519-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS FAMILY AND INTERNAL MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "LAJVARDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BEROOZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-460-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89608",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A89608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.