NPIMap

Individual provider Active NPI

Luis A Artavia, M.D.

  • Family Medicine Physician
  • Sylmar, CA
National Provider Identifier
1407885577
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76188 Issued in CA
Practice address
14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051
Phone
(818) 367-1012
NPI assigned
Jul 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76188 CA Primary

Addresses

Primary practice location

14124 Foothill Blvd Ste 100
Sylmar, CA 91342-8051

Mailing address

221 N 3Rd St
Burbank, CA 91502-1202
Phone (714) 469-6913

Other identifiers 4

IdentifierTypeStateIssuer
EAP70768FMedicaidCA
FHC70768FMedicaidCA
HAP70768FMedicaidCA
1516008MedicaidAZ

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
I20080121000235 CA Practitioner - Family Practice 6204917826 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

14124 Foothill Blvd
Sylmar, CA 91342-8051
Phone (818) 367-1012

191 S Buena Vista St
Suite 400
Burbank, CA 91505-4543
Phone (818) 848-0023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76188CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Mobile Doctors Inc CurrentSince Aug 3, 2020 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Family Medicine CurrentSince Apr 17, 2018 Accepting new patients
Presence Central and Suburban Hospitals Network Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

191 S Buena Vista St
Ste 400
Burbank, CA 91505
Phone (818) 818-0023

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: luis.artavia.p1@direct.lakeside.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Luke's Hospice, Inc.Diamond Bar, CA, CCN 551597 Hospice Contracted Managing Employee Sep 3, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407885577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N 3RD ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021202",
            "telephone_number": "714-469-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD STE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913428051",
            "telephone_number": "818-367-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTAVIA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70768F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70768F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70768F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.