Organization Active NPI

Alfred Lavi, D.O. Professional Corporation

Doing business as United Care Family Medical Center

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1629198791
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7653 Issued in CA
Legal business name
ALFRED LAVI, D.O. PROFESSIONAL CORPORATION
Doing business as
United Care Family Medical Center
Practice address
2324 W Pico Blvd
Los Angeles, CA 90006-4002
Phone
(310) 210-5880
Fax
(213) 383-5300
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Alfred Lavi, DONPI 1184739039
Title
Owner
Phone
(213) 383-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A7653 CA Primary

Addresses

Primary practice location

2324 W Pico Blvd
Los Angeles, CA 90006-4002

Mailing address

2324 W Pico Blvd
Los Angeles, CA 90006-4002
Phone (213) 383-3600

Other identifiers 1

IdentifierTypeStateIssuer
00AX76530MedicaidCA

Other names 1

  • United Care Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123000616 CA Part B Supplier - Clinic/Group Practice 8921063546 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1030977United Care Family Medical Center2324 West Pico Blvd, Los Angeles, CA 90006Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

19800 MacArthur Blvd
Irvine, CA 92612

1835 S La Cienega Blvd
Ste 205
Los Angeles, CA 90035
Phone (213) 383-3600

2324 W Pico Blvd
Los Angeles, CA 90006
Phone (213) 383-3600

1835 S La Cienega Blvd
Ste 215
Los Angeles, CA 90035
Phone (213) 383-3600

333 City Blvd W
Fl 3
Orange, CA 92868
Phone (888) 725-7087

11434 Ventura Blvd
Ste 102
Studio City, CA 91604
Phone (747) 666-0147

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1629198791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064002",
            "telephone_number": "213-383-3600",
            "fax_number": "213-383-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064002",
            "telephone_number": "310-210-5880",
            "fax_number": "213-383-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED LAVI, D.O. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "LAVI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-383-3600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX76530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Care Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Care Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.