Individual provider Active NPI

Alicia La Vonne Easley, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1063610434
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A70767 Issued in CA
Practice address
4650 W Sunset Blvd
Ms #94
Los Angeles, CA 90027-6062
Phone
(323) 361-6177
Fax
(323) 361-8106
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70767 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd
Ms #94
Los Angeles, CA 90027-6062

Mailing address

4650 W Sunset Blvd
Ms #94
Los Angeles, CA 90027-6062
Phone (323) 361-6177

Other practice location 1

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other identifiers 1

IdentifierTypeStateIssuer
00A707670MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alicia.easley@ventura.cernerdirect.com Direct

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
I20150505000067 CA Practitioner - Pediatric Medicine 2264581297 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70767CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A70767CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Pediatric Hospitalist Medical Group, Inc. Pediatrics CurrentSince Jun 1, 2021 Accepting new patients
County of Ventura CurrentSince Nov 1, 2025 Accepting new patients
County of Ventura CurrentSince Nov 1, 2025 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Mar 7, 2015 Accepting new patients
County of Ventura Current Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

4650 W Sunset Blvd
#94
Los Angeles, CA 90027
Phone (323) 361-6177

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1063610434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "address_2": "MS #94",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-6177",
            "fax_number": "323-361-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "address_2": "MS #94",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-6177",
            "fax_number": "323-361-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "ALICIA",
        "middle_name": "LA VONNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A707670",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia.easley@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.