Individual provider Active NPI

Lawrence Osman, MD

  • Dermatology Physician
  • Northridge, CA
National Provider Identifier
1730177932
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A79064 Issued in CA
Practice address
18546 Roscoe Blvd
Ste 306
Northridge, CA 91324-4663
Phone
(818) 885-0455
Fax
(818) 701-8045
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A79064 CA Primary

Addresses

Primary practice location

18546 Roscoe Blvd
Ste 306
Northridge, CA 91324-4663

Mailing address

PO Box 7325
Northridge, CA 91327
Phone (818) 885-0455

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
I20040910000477 CA Practitioner - Dermatology 0244207272 Reassigns benefits to 1 organization
Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18546 Roscoe Blvd
Suite 306
Northridge, CA 91324-4669
Phone (818) 885-0455

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions1646
Removal of skin cancer139
Skin biopsy454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79064CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Osman MD PC CurrentSince Mar 1, 2018 Accepting new patients
Hal M. Weitzbuch, M.D. Medical Corporation Past Accepting new patients
Robert a. de Stefano, M.D., Inc. Past Accepting new patients

Locations

18546 Roscoe Blvd
Ste 306
Northridge, CA 91324
Phone (818) 885-0455

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1730177932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7325",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91327",
            "telephone_number": "818-885-0455",
            "fax_number": "818-701-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD",
            "address_2": "STE 306",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244663",
            "telephone_number": "818-885-0455",
            "fax_number": "818-701-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A79064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.