Organization Active NPI

Cyrus Lavian MD Inc

  • Internal Medicine Physician
  • Panorama City, CA
National Provider Identifier
1245652940
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CYRUS LAVIAN MD INC
Practice address
15310 Roscoe Blvd
Panorama City, CA 91402-4303
Phone
(818) 830-9999
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Cyrus Lavian, MDNPI 1548283526
Title
President/Owner
Phone
(818) 830-9999

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15310 Roscoe Blvd
Panorama City, CA 91402-4303

Mailing address

16020 Valley Wood Rd
Sherman Oaks, CA 91403-4737
Phone (818) 830-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121221000355 CA Part B Supplier - Clinic/Group Practice 2163675158 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2097467Cyrus Lavian MD Inc Dba Valley Medical Urgent Care15310 Roscoe Blvd, Panorama City, CA 91402Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Locations

15310 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 830-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1245652940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 VALLEY WOOD RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034737",
            "telephone_number": "818-830-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024303",
            "telephone_number": "818-830-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS LAVIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "LAVIAN",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-830-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.