Individual provider Active NPI

Ajay Mohan Lalvani, MD

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1073553210
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A60441 Issued in CA
Practice address
One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162
Phone
(949) 764-6954
Fax
(949) 764-5674
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A60441 CA Primary

Addresses

Primary practice location

One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162

Mailing address

One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162
Phone (949) 764-6954

Other identifiers 2

IdentifierTypeStateIssuer
00A60441OtherCABLUE SHIELD
00A604410MedicaidCA

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
I20100315000336 CA Practitioner - Anesthesiology 4183759269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Anesthesia Consultants Medical Group IncGroup PAC ID 1759284771, 86 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60441CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology CurrentSince Jun 1, 1998 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1901 Newport Blvd
#W120
Costa Mesa, CA 92627

16100 Sand Canyon Ave
Ste 170
Irvine, CA 92618
Phone (949) 387-9700

27882 Forbes Rd
Ste 203
Laguna Niguel, CA 92677
Phone (949) 347-2400

351 Hospital Rd
Ste 110
Newport Beach, CA 92663
Phone (949) 335-4966

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

361 Hospital Rd
Ste 124
Newport Beach, CA 92663
Phone (949) 631-0988

1617 Westcliff Dr
Ste 106
Newport Beach, CA 92660
Phone (949) 515-6218

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1073553210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-6954",
            "fax_number": "949-764-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-6954",
            "fax_number": "949-764-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALVANI",
        "first_name": "AJAY",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A60441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A60441",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A604410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.