Individual provider Active NPI

Maziar Lalezary, MD

  • Retina Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
National Provider Identifier
1710170253
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A120462 Issued in CA
Practice address
8383 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-2436
Phone
(310) 571-5026
Fax
(844) 373-8462
NPI assigned
Aug 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X A120462 CA Primary

Addresses

Primary practice location

8383 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-2436

Mailing address

8383 Wilshire Blvd
Suite 440
Beverly Hills, CA 90211-2425
Phone (310) 571-5026

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
I20120810000138 CA Practitioner - Ophthalmology 9133251358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 101
Los Angeles, CA 90027-6061
Phone (323) 644-4445

8383 Wilshire Blvd
Suite 440
Beverly Hills, CA 90211-2436
Phone (310) 571-5026

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120462CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Medical and Surgical Group, PC Single Specialty CurrentSince May 24, 2022 Accepting new patients
Doctor Retina Single Specialty CurrentSince Jun 9, 2015 Accepting new patients
Greater Los Angeles Oncology Medical Corporation Single Specialty PastSince Oct 1, 2015 Accepting new patients
Cedars-Sinai Medical Center Single Specialty Past Accepting new patients
Southern California Desert Retina Consultants Single Specialty Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Vanderbilt Univ. Medical Center Past Accepting new patients
White Memorial Medical Center Single Specialty Past Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients

Locations

8383 Wilshire Blvd
Ste 440
Beverly Hills, CA 90211
Phone (310) 571-5026

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: maziar.lalezary.p1@direct.valleyeyecenter.nextgenshare.com
  • Direct secure messaging: maziar.lalezary.p3@direct.valleyeyecenter.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/201220/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1710170253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "SUITE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425",
            "telephone_number": "310-571-5026",
            "fax_number": "844-373-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112436",
            "telephone_number": "310-571-5026",
            "fax_number": "844-373-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEZARY",
        "first_name": "MAZIAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A120462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.