Individual provider Active NPI

Roman Leibzon, M.D.

  • Interventional Cardiology Physician
  • Burbank, CA
National Provider Identifier
1447252218
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A71810 Issued in CA
Practice address
191 S Buena Vista St
Suite 400
Burbank, CA 91505-4554
Phone
(818) 848-0023
Fax
(818) 848-3495
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A71810 CA Primary

Addresses

Primary practice location

191 S Buena Vista St
Suite 400
Burbank, CA 91505-4554

Mailing address

191 S Buena Vista St
Suite 400
Burbank, CA 91505-4554
Phone (818) 848-0023

Other identifiers 1

IdentifierTypeStateIssuer
00A718100MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000823 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749181899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Moody CT
Suite 200
Thousand Oaks, CA 91360-6082
Phone (805) 418-3500

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

26585 Agoura Rd
Suite 360
Calabasas, CA 91302-1958
Phone (818) 592-2320

2755 Alamo St
Suite 100
Simi Valley, CA 93065-1345
Phone (805) 526-8252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Oct 30, 2012 Accepting new patients
The Regents of the University of California CurrentSince Oct 30, 2012 Accepting new patients
Dignity Community Care Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
West Hills Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Simi San Fernando Valley Urology Associates Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Alan Shiener MD Inc. Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500

1250 La Venta Dr
Ste 207
Westlake Vlg, CA 91361
Phone (805) 494-6920

1250 La Venta Dr
Ste 105
Westlake Vlg, CA 91361
Phone (805) 379-3376

Interoperability endpoints

  • Direct secure messaging: roman.leibzon.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: rleibzon10133@direct.uclahealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1447252218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-848-0023",
            "fax_number": "818-848-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-848-0023",
            "fax_number": "818-848-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBZON",
        "first_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A71810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A718100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.