Individual provider Active NPI

Inna Lamport, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • South Pasadena, CA
National Provider Identifier
1336187343
Registry record updated Aug 13, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jan 19, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
A50462 Issued in CA
Practice address
1211 Brunswick Ave
South Pasadena, CA 91030-3507
Phone
(323) 258-3060
Fax
(323) 258-1040
NPI assigned
Jun 2, 2006
Last updated
Aug 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X A50462 CA Primary

Addresses

Primary practice location

1211 Brunswick Ave
South Pasadena, CA 91030-3507

Mailing address

8306 Wilshire Blvd
#501
Beverly Hills, CA 90211-2382
Phone (310) 613-2414

Other identifiers 1

IdentifierTypeStateIssuer
00A504621MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dagmar Liepa, MD PastSince Apr 14, 2024 Accepting new patients
Addictionmds PC PastSince Feb 27, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1336187343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD",
            "address_2": "#501",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112382",
            "telephone_number": "310-613-2414",
            "fax_number": "805-494-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 BRUNSWICK AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303507",
            "telephone_number": "323-258-3060",
            "fax_number": "323-258-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPORT",
        "first_name": "INNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A50462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.