Individual provider Active NPI

Lori J Izabal, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1114992328
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61528 Issued in CA
Practice address
1401 Avocado Ave Ste 608
Newport Beach, CA 92660-8719
Phone
(949) 640-4455
Fax
(949) 640-4456
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61528 CA Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 608
Newport Beach, CA 92660-8719

Mailing address

1401 Avocado Ave Ste 608
Newport Beach, CA 92660-8719
Phone (949) 640-4455

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
I20060721000264 CA Practitioner - Family Practice 9335152156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lori J Izabal M D a Professional CorporationGroup PAC ID 2769486125, 2 clinicians

Practice addresses (Care Compare)

1401 Avocado Ave
Suite 608
Newport Beach, CA 92660-8719
Phone (949) 640-4455

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61528CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimiko Snider,M.D.,Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Lori J Izabal M D a Professional Corporation Family Medicine CurrentSince May 1, 2006 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

360 San Miguel Dr
Ste 206
Newport Beach, CA 92660
Phone (949) 640-4452

Interoperability endpoints

  • Direct secure messaging: lori.izabal.1@4870.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1114992328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 608",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608719",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 608",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608719",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZABAL",
        "first_name": "LORI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.