NPIMap

Organization Active NPI

Lazaro V. Alonso, M.D., a Medical Corporation

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1700065901
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAZARO V. ALONSO, M.D., A MEDICAL CORPORATION
Practice address
15216 Vanowen St
Van Nuys, CA 91405-3601
Phone
(818) 785-7875
Fax
(818) 909-7924
NPI assigned
Oct 24, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Lazaro Victor Alonso, M.D.NPI 1427073576
Title
President
Phone
(818) 785-7875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15216 Vanowen St
Van Nuys, CA 91405-3601

Mailing address

15216 Vanowen St
Van Nuys, CA 91405-3601
Phone (818) 785-7875

Other identifiers 2

IdentifierTypeStateIssuer
GR0080100MedicaidCA
GROO80102MedicaidCA

National Provider Directory

National Provider Directory

Locations

15216 Vanowen St
Ste 1B
Van Nuys, CA 91405
Phone (818) 208-9153

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1700065901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15216 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053601",
            "telephone_number": "818-785-7875",
            "fax_number": "818-909-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15216 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053601",
            "telephone_number": "818-785-7875",
            "fax_number": "818-909-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO V. ALONSO, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-785-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO80102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.