Sergio C Lazatin Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30358 Issued in CA

Practice address

11633 San Vicente Blvd Ste 214
Los Angeles, CA 90049-6513

Phone

(818) 395-7925

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Serge C Lazatin Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lucent Chiropractic

  • Preferred Provider Organization
  • Los Angeles, CA
  • NPI 1063667152
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1124212303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10066 SILVERTON AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422453",
            "telephone_number": "818-395-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496513",
            "telephone_number": "818-395-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZATIN",
        "first_name": "SERGIO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGE",
            "last_name": "LAZATIN",
            "middle_name": "C",
            "suffix": "JR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jorge Antonio Lazareff, MD
• Maela Robyne Lazaro
• Hadar Ozery Lazarov
• Josue Lazarte
• Michael Edwin Lazarus, MD
• Azucena Rubi Lazo, BA
• Breana Rose Lazo
• Breanna Lazo
• Edward H. Lazo, DPM
• Karen Lazo

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.