Active NPI
Lily Nourmand, M.D.
- Family Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A064775
- Practice address
- 1821 Wilshire Blvd Ste 301
Santa Monica, CA 90403-5679 - Phone
- (310) 828-6027
- Fax
- (310) 453-8085
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A064775 | CA | Primary |
Addresses
Primary practice location
1821 Wilshire Blvd Ste 301
Santa Monica, CA 90403-5679
Mailing address
PO Box 4001
Spokane, WA 99210-4001
Phone (866) 747-2455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lnourmand472807@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Un of California, Irvine, College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1821 Wilshire Blvd
Suite 301
Santa Monica, CA 90403-5679
Phone (310) 828-6027
Hospital & facility affiliations
- A&M Alliance Home Health Care, Inc.
- Care 4U Home Health Services, Inc.
- Saint John'S Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 96.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A064775 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Family Medicine | Current | Accepting new patients |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| Martin L. Alpert, M.D., Inc. | Past | Accepting new patients |
Locations
12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
1821 Wilshire Blvd
Ste 301
Santa Monica, CA 90403
Phone (310) 828-6027
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2021 Santa Monica Blvd
Ste 245E
Santa Monica, CA 90404
Phone (310) 829-4403
1831 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 829-8584
Interoperability endpoints
- lnourmand472807@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
Family Medicine
-
- General Practice Physician
- Santa Monica, CA
- NPI 1558531632
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tarzana, CA
- NPI 1902367865
-
- Home Health Agency
- Westlake Village, CA
- NPI 1265190714
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1376584482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4001",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992104001",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 WILSHIRE BLVD STE 301",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035679",
"telephone_number": "310-828-6027",
"fax_number": "310-453-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURMAND",
"first_name": "LILY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A064775",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lnourmand472807@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1821 Wilshire Blvd Ste 301",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904035679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.