NPIMap

Individual provider Active NPI

Dariush S Lavi, M.D.

  • Internal Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1750449062
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70042 Issued in CA
Practice address
1503 S Coast Dr Ste 109
Costa Mesa, CA 92626-1526
Phone
(714) 585-1842
Fax
(714) 963-0350
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70042 CA Primary

Addresses

Primary practice location

1503 S Coast Dr Ste 109
Costa Mesa, CA 92626-1526

Mailing address

1503 S Coast Dr
Suite 109
Costa Mesa, CA 92626-1534
Phone (714) 585-1842

Other names 1

  • Dr. Dariush S Lavi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123001013 CA Practitioner - Internal MedicinePractitioner - Family Practice 0749182202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of California, Irvine, California College of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1503 S Coast Dr
Suite 109
Costa Mesa, CA 92626-1526

Hospital & facility affiliations

  • St. Rose of Lima Healthcare Provider, Inc. Home health agency, Lake Forest, CA, CCN 059207
  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
21.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dariush S. Lavi, M.D., Inc. Internal Medicine CurrentSince Jun 27, 2014 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

1503 S Coast Dr
Ste 109
Costa Mesa, CA 92626
Phone (714) 434-1629

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 5

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1750449062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR",
            "address_2": "SUITE 109",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261534",
            "telephone_number": "714-585-1842",
            "fax_number": "714-434-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 109",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261526",
            "telephone_number": "714-585-1842",
            "fax_number": "714-963-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVI",
        "first_name": "DARIUSH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIUSH",
            "last_name": "LAVI",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.