Individual provider Active NPI

Marc Irving Lavin, M.D.

  • Internal Medicine Physician
  • West Hills, CA
National Provider Identifier
1326048638
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54809 Issued in CA
Practice address
7345 Medical Center Dr Ste 160
West Hills, CA 91307-1952
Phone
(818) 676-4805
Fax
(818) 676-4820
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54809 CA Primary

Addresses

Primary practice location

7345 Medical Center Dr Ste 160
West Hills, CA 91307-1952

Mailing address

7345 Medical Center Dr Ste 160
West Hills, CA 91307-1952
Phone (818) 676-4805

Other identifiers 2

IdentifierTypeStateIssuer
A54809OtherCASTATE LICENSE
00A548090MedicaidCA

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
I20080215000104 CA Practitioner - Internal Medicine 7810070778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7345 Medical Ctr Dr
Suite 160
West Hills, CA 91307-1952
Phone (818) 676-4805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54809CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc I. Lavin M.D., a Professional Medical Corporation Internal Medicine CurrentSince Oct 15, 2007 Accepting new patients
West Hills Hospital Past Accepting new patients

Locations

23101 Sherman Pl
Ste 510
West Hills, CA 91307
Phone (818) 676-4805

7345 Medical Ctr
Ste 160
West Hills, CA 91307
Phone (818) 676-4805

Interoperability endpoints

  • Direct secure messaging: marc.lavin.1@13096.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1326048638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 160",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071952",
            "telephone_number": "818-676-4805",
            "fax_number": "818-676-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 160",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071952",
            "telephone_number": "818-676-4805",
            "fax_number": "818-676-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "MARC",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A54809",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A548090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.