L.E.V. Medical Group, a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A92996 Issued in CA

Legal business name

L.E.V. MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION

Practice address

7855 Santa Monica Blvd
West Hollywood, CA 90046-5344

Phone

(310) 623-9222

Fax

(310) 921-5623

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vlad Nusinovich, MDNPI 1144288036

Title

President

Phone

(310) 623-9222

Specialties & licenses 1

Addresses

Other names 1

• Prestige Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vlad Nusinovich, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1144288036
  Medicare reassignment NPD Authorized official
• Larisa Karazhova, FNP

  • Family Nurse Practitioner
  • Valley Village, CA
  • NPI 1144520388
  Medicare reassignment NPD
• Marina Lazarevna Vernaya, MSN, FNP-C

  • Family Nurse Practitioner
  • West Hollywood, CA
  • NPI 1457643611
  Medicare reassignment NPD
• Tallin Martirossian Patterson

  • Geriatric Medicine (Internal Medicine) Physician
  • Burbank, CA
  • NPI 1831608165
  Medicare reassignment

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1801045778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465344",
            "telephone_number": "310-623-9222",
            "fax_number": "310-921-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465344",
            "telephone_number": "310-623-9222",
            "fax_number": "310-921-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.E.V. MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "NUSINOVICH",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-623-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Marie Kuykendall, CRNA
• Justin Kwai, P.T
• Alan Chin Kwan, M.D.
• Derek Daniel Kwan, M.D.
• Choon Hyuck David Kwon, M.D. PH.D.
• Megan La Fuente, FNP-C
• La Pain and Performance
• Artak Labadzhyan, M.D.
• Barbara Labinger
• Nathacha Labrie, PT

• Internal Medicine Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.