Organization Active NPI

David Lavian M.D. Inc.

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1285931105
Registry record updated Feb 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A46370 Issued in CA
Legal business name
DAVID LAVIAN M.D. INC.
Practice address
14600 Sherman Way
Suite 215
Van Nuys, CA 91405-2283
Phone
(818) 782-4300
Fax
(818) 782-6411
NPI assigned
Feb 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2011

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

Authorized official

Name
Dr. David Lavian, M.D.NPI 1770582967
Title
President
Phone
(818) 782-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A46370 CA Primary

Addresses

Primary practice location

14600 Sherman Way
Suite 215
Van Nuys, CA 91405-2283

Mailing address

PO Box 571286
Tarzana, CA 91357-1286
Phone (818) 782-4300

Other identifiers 1

IdentifierTypeStateIssuer
00A463700MedicaidCA

National Provider Directory

National Provider Directory

Locations

14600 Sherman Way
Ste 215
Van Nuys, CA 91405
Phone (818) 538-7402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297555200000",
    "number": "1285931105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571286",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913571286",
            "telephone_number": "818-782-4300",
            "fax_number": "818-782-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY",
            "address_2": "SUITE 215",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052283",
            "telephone_number": "818-782-4300",
            "fax_number": "818-782-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LAVIAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-13",
        "last_updated": "2011-02-13",
        "status": "A",
        "authorized_official_last_name": "LAVIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A463700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; 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.