Individual provider Active NPI

Cyrus Rafael Lavian, M.D.

  • Internal Medicine Physician
  • Panorama City, CA
National Provider Identifier
1548283526
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A044927 Issued in CA
Practice address
15310 Roscoe Blvd
Panorama City, CA 91402-4303
Phone
(818) 830-9999
Fax
(818) 830-9910
NPI assigned
Jul 25, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A044927 CA Primary

Addresses

Primary practice location

15310 Roscoe Blvd
Panorama City, CA 91402-4303

Mailing address

15310 Roscoe Blvd
Panorama City, CA 91402-4303
Phone (818) 830-9999

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
I20051110000862 CA Practitioner - Family PracticePractitioner - Internal Medicine 1557389228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15310 Roscoe Blvd
Panorama City, CA 91402-4303
Phone (818) 830-9999

9043 Woodman Ave
Suite C
Arleta, CA 91331-6493
Phone (818) 221-3096

P O Box
Suite 20040
Encino, CA 91416-0040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A044927CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus Lavian MD Inc Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Comprehensive Community Health Centers, Inc CurrentSince Jul 17, 2023 Accepting new patients
Comprehensive Community Health Centers Inc Internal Medicine Current Accepting new patients
Cyrus R Lavian, M.D., Inc Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Comprehensive Community Health Centers, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Peter Jahangir Parker M D Inc. Past Accepting new patients
FHMC Group Inc PastSince May 1, 2020 Accepting new patients

Locations

9043 Woodman Ave
Ste C
Arleta, CA 91331
Phone (818) 221-3096

801 S Chevy Chase Dr
Ste 105
Glendale, CA 91205
Phone (818) 242-5299

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116

15310 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 830-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1548283526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024303",
            "telephone_number": "818-830-9999",
            "fax_number": "818-830-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024303",
            "telephone_number": "818-830-9999",
            "fax_number": "818-830-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "CYRUS",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A044927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.