NPIMap

Individual provider Active NPI

David Benjamin Lalezari, MD

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1093094427
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A117709 Issued in CA
Practice address
8737 Beverly Blvd Ste 301
West Hollywood, CA 90048-1839
Phone
(323) 765-1500
Fax
(310) 363-7046
NPI assigned
Aug 16, 2011
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A117709 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd Ste 301
West Hollywood, CA 90048-1839

Mailing address

PO Box 251247
Los Angeles, CA 90025-9747
Phone (818) 430-4000

Other practice location 1

5901 W Olympic Blvd Ste 404
Los Angeles, CA 90036-4669
Phone (323) 938-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112000994 CA Practitioner - Internal Medicine 7719113273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Noble Physicians Medical Group Corp IncGroup PAC ID 2860706348, 3 clinicians

Practice addresses (Care Compare)

5901 W Olympic Blvd
Suite 404
Los Angeles, CA 90036-4669
Phone (323) 938-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.4 of 100Reported as group
Quality
78.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117709CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadi Medical Corporation CurrentSince Aug 1, 2014 Accepting new patients
Noble Physicians Medical Group Corp Inc Internal Medicine CurrentSince May 30, 2015 Accepting new patients

Locations

5901 W Olympic Blvd
Ste 404
Los Angeles, CA 90036
Phone (323) 928-9999

633 S La Brea Ave
Los Angeles, CA 90036
Phone (310) 860-1120

8815 W Pico Blvd
Los Angeles, CA 90035
Phone (323) 938-9999

8737 Beverly Blvd
Ste 301
West Hollywood, CA 90048
Phone (310) 477-8400

Interoperability endpoints

  • Direct secure messaging: dlalezari198972@direct.cshs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1093094427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251247",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900259747",
            "telephone_number": "818-430-4000",
            "fax_number": "310-363-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD STE 301",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481839",
            "telephone_number": "323-765-1500",
            "fax_number": "310-363-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Olympic Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364669",
            "country_code": "US",
            "telephone_number": "323-938-9999",
            "fax_number": "323-456-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALEZARI",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A117709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.