Active NPI
Misha Lanzat, D.P.M., Inc.
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1114973591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3726
- Legal business name
- MISHA LANZAT, D.P.M., INC.
- Practice address
- 3743 Whittier Blvd
Los Angeles, CA 90023-1703 - Phone
- (323) 268-2711
- Fax
- (323) 268-9260
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Misha Lanzat, D.P.M.
- Title
- President
- Phone
- (323) 268-2711
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3726 | CA | Primary |
Addresses
Primary practice location
3743 Whittier Blvd
Los Angeles, CA 90023-1703
Mailing address
3743 Whittier Blvd
Los Angeles, CA 90023-1703
Phone (323) 268-2711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E37260 | Medicaid | CA | |
| 480032782 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Los Angeles, CA
- NPI 1891894713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1114973591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231703",
"telephone_number": "323-268-2711",
"fax_number": "323-268-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3743 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231703",
"telephone_number": "323-268-2711",
"fax_number": "323-268-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISHA LANZAT, D.P.M., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "LANZAT",
"authorized_official_first_name": "MISHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-268-2711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E3726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E37260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480032782",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.