Individual provider Active NPI

Daniela Lazar

  • Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1720648264
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95011663 Issued in CA
Practice address
18645 Hatteras St Unit 263
Tarzana, CA 91356-1874
Phone
(818) 457-8792
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X NP95011663 CA Primary

Addresses

Primary practice location

18645 Hatteras St Unit 263
Tarzana, CA 91356-1874

Mailing address

18645 Hatteras St Unit 263
Tarzana, CA 91356-1874

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721003651 CA Practitioner - Nurse Practitioner 5294063046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

18646 Oxnard St
Tarzana, CA 91356-1411
Phone (800) 996-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95011663CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. Single Specialty Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Osher Resources Inc Single Specialty CurrentSince May 29, 2019 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

8330 Reseda Blvd
Northridge, CA 91324
Phone (818) 534-1820

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dlazar347184@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1720648264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18645 HATTERAS ST UNIT 263",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18645 HATTERAS ST UNIT 263",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561874",
            "telephone_number": "818-457-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95011663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.