Sepehr Lalezari, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

141683 Issued in CA

Practice address

1245 Wilshire Blvd Ste 907
Los Angeles, CA 90017-4809

Phone

(213) 545-1656

Fax

(213) 606-0586

NPI assigned

Sep 7, 2011

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lalezari Surgical

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1932614229
  Medicare reassignment NPD Authorized official
• Bariatric Guru

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1205426343
  NPD Authorized official
• Beverly Hills Elite Surgery Center Inc

  dba Beverly Hills Elite Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1598553125
  NPD Authorized official
• Brotman Medical Center, Inc.

  • Skilled Nursing Facility
  • Culver City, CA
  • NPI 1518997733
  NPD (past)
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Culver City

  • Psychiatric Hospital Unit
  • Culver City, CA
  • NPI 1487905725
  NPD (past)
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1417238205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S HILL ST",
            "address_2": "STE 218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90014",
            "telephone_number": "213-545-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 907",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174809",
            "telephone_number": "213-545-1656",
            "fax_number": "213-606-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Larchmont Blvd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900046405",
            "country_code": "US",
            "telephone_number": "213-545-1656",
            "fax_number": "213-915-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908134424",
            "country_code": "US",
            "telephone_number": "213-545-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 S HILL ST",
            "address_2": "STE 218",
            "address_purpose": "LOCATION",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141756",
            "country_code": "US",
            "telephone_number": "213-545-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALEZARI",
        "first_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D80875",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "141683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Laleh
• Moshe Lalehzari, PHARM.D
• Lalezari Surgical
• Bahman Lalezari, MD
• Pauline Lalezari, LMFT
• Shireen Lalezari, OT
• Michael Aaron Lalezarian
• Youssef Lalezarian, M.D.
• Shiva Lalezarzadeh, D.O.
• Maria A Lalin

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.

Verify at the official NPI Registry.