Individual provider Active NPI

Alex A Lazar, M.D.

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1154377315
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A67822 Issued in CA
Practice address
16055 Ventura Blvd Ste 601
Encino, CA 91436-2618
Phone
(818) 783-9922
Fax
(818) 783-9920
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A67822 CA
Psychiatry Physician 2084P0800X A67822 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 601
Encino, CA 91436-2618

Mailing address

16055 Ventura Blvd Ste 601
Encino, CA 91436-2618
Phone (818) 783-9922

Other names 1

  • Dr. Arash A Lalezarian Former name

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
I20041206000605 CA Practitioner - Psychiatry 1052377645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16055 Ventura Blvd
Suite 601
Encino, CA 91436-2618
Phone (818) 783-9922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67822CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alex a Lazar MD Inc Psychiatry CurrentSince Jul 19, 2004 Accepting new patients

Locations

16311 Ventura Blvd
Ste 1050
Encino, CA 91436
Phone (818) 783-3836

16055 Ventura Blvd
Ste 601
Encino, CA 91436
Phone (818) 783-9922

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1154377315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 601",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362618",
            "telephone_number": "818-783-9922",
            "fax_number": "818-783-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 601",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362618",
            "telephone_number": "818-783-9922",
            "fax_number": "818-783-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "ALEX",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A67822",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A67822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARASH",
            "last_name": "LALEZARIAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.