Individual provider Active NPI

Alisa Alayan

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
National Provider Identifier
1558745562
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
136967 Issued in CA
Practice address
444 S San Vicente Blvd Ste 901
Los Angeles, CA 90048-4174
Phone
(310) 423-9779
NPI assigned
Jul 20, 2015
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 136967 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X 136967 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd Ste 901
Los Angeles, CA 90048-4174

Mailing address

444 S San Vicente Blvd Ste 901
Los Angeles, CA 90048-4174

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
I20180730002499 CA Practitioner - Orthopedic Surgery 2769730399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shahin S Rad MD PCGroup PAC ID 3870803299, 14 clinicians

Practice addresses (Care Compare)

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 937-3701

16311 Ventura Blvd
Suite 1150
Encino, CA 91436-4386
Phone (818) 477-0787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136967CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahin S. Rad, M.D. PC Orthopaedic Surgery CurrentSince May 24, 2023 Accepting new patients
Alisa Alayan M.D., Inc. Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2021 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Ada del Rivero-Yamuy Medical Corp PastSince Nov 15, 2004 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

3831 Hughes Ave
Ste 105
Culver City, CA 90232
Phone (310) 815-5035

3831 Hughes Ave
Ste 101
Culver City, CA 90232
Phone (310) 204-0104

3831 Hughes Ave
Culver City, CA 90232
Phone (424) 603-4544

16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 482-0016

444 S San Vicente Blvd
Ste 800900
Los Angeles, CA 90048

444 S San Vicente Blvd
Ste 900
Los Angeles, CA 90048
Phone (310) 248-7300

1300 N Vermont Ave
Ste 100
Los Angeles, CA 90027
Phone (323) 913-4300

444 S San Vicente Blvd
Ste 901
Los Angeles, CA 90048
Phone (310) 248-7322

1300 N Vermont Ave
Ste 501
Los Angeles, CA 90027
Phone (323) 913-4560

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD
  • Direct secure messaging: aalayan181594@direct.cshs.org

Organizations & group practices 5

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 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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1558745562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484174",
            "telephone_number": "310-423-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAYAN",
        "first_name": "ALISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "136967",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "136967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.