NPIMap

Individual provider Active NPI

Moinakhtar Lala, M.D.

  • Cardiovascular Disease Physician
  • Reseda, CA
National Provider Identifier
1396907119
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A112731 Issued in CA
Practice address
7640 Tampa Ave
Suite 101
Reseda, CA 91335-1735
Phone
(248) 787-5527
NPI assigned
Jul 2, 2008
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A112731 CA Primary

Addresses

Primary practice location

7640 Tampa Ave
Suite 101
Reseda, CA 91335-1735

Mailing address

7640 Tampa Ave
Suite 101
Reseda, CA 91335-1735
Phone (248) 787-5527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002144 CA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 9931413556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Advanced Cardiac and Vascular InterventionsGroup PAC ID 1759649056, 13 clinicians

Practice addresses (Care Compare)

18226 Ventura Blvd
Suite 102
Tarzana, CA 91356-4246
Phone (818) 905-5904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
68.97
Promoting interoperability
99
Improvement activities
40
Cost
43.32

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting125
Pacemaker insertion or repair1-10
Varicose vein removal391
Leg revascularization (restoring blood flow)170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112731CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Surgicenter of Beverly Hills LLC Current Accepting new patients
Noninvasive Medical Imaging Incorporated CurrentSince Mar 10, 2019 Accepting new patients
Alden Advanced Surgicenter LLC CurrentSince Dec 1, 2020 Accepting new patients
Center for Interventional Cardiology & Nephrology Med GP Inc CurrentSince Oct 1, 2016 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Cardiovascular Disease CurrentSince Jan 13, 2018 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

8635 W 3rd St
Ste 695W
Los Angeles, CA 90048
Phone (310) 652-2744

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

7640 Tampa Ave
Ste 101
Reseda, CA 91335
Phone (818) 718-1600

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

18226 Ventura Blvd
Ste 102A
Tarzana, CA 91356
Phone (818) 905-5904

12441 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (760) 628-2200

8631 W 3rd St
Ste 815E
West Hollywood, CA 90048
Phone (310) 652-3055

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mlala210335@direct.cshs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1396907119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE",
            "address_2": "SUITE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351735",
            "telephone_number": "248-787-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE",
            "address_2": "SUITE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351735",
            "telephone_number": "248-787-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "MOINAKHTAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A112731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.