Lasermd Pain Relief, Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

136863 Issued in CA

Legal business name

LASERMD PAIN RELIEF, INC.

Practice address

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727

Phone

(213) 550-5600

Fax

(213) 325-6425

NPI assigned

Feb 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Harold Kraft, M.D.NPI 1548585417

Title

Ceo

Phone

(213) 550-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Lasermd Pain Relief Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lasermd Pain Relief, Inc.

  • Pain Clinic/Center
  • Santa Monica, CA
  • NPI 1427676568
  NPD tax ID
• Lasermd Pain Relief, Inc.

  • Pain Clinic/Center
  • Sherman Oaks, CA
  • NPI 1801492913
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lasermd Pain Relief, Inc.

  • Pain Clinic/Center
  • Santa Monica, CA
  • NPI 1427676568
  NPPES parent name
• Lasermd Pain Relief, Inc.

  • Pain Clinic/Center
  • Sherman Oaks, CA
  • NPI 1801492913
  NPPES parent name

Practitioners 3

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

• Harold Kraft, M.D.

  • Pain Clinic/Center
  • Santa Monica, CA
  • NPI 1548585417
  Medicare reassignment Care Compare group NPD Authorized official
• Jerrold C Bustos, M.D.

  • Anesthesiology Physician
  • Azusa, CA
  • NPI 1942251384
  Medicare reassignment Care Compare group NPD
• Bilal Ittiq, MD

  • Sports Medicine (Family Medicine) Physician
  • Bellingham, WA
  • NPI 1467806224

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1629438064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD",
            "address_2": "1036",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925442",
            "telephone_number": "213-550-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662727",
            "telephone_number": "213-550-5600",
            "fax_number": "213-325-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035679",
            "country_code": "US",
            "telephone_number": "213-550-5600",
            "fax_number": "213-325-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LASERMD PAIN RELIEF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-550-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "136863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Wai-Yi Lam, PA-C
• Jenny Lam
• Lik Jay Lam, LCSW
• Denise Larsen, DPT
• Julia M Larson, OD
• Thomas Kyle Lastrapes, RD
• Rebecca Lavery
• Lawrence S. Moy MD Inc
• John Lazar, FNP
• Christina Le

• Pain Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.