Individual provider Active NPI

Lora L. Bofill, MD

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1811029036
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243895 Issued in VA
Practice address
2300 E Parham Rd
Richmond, VA 23228-3118
Phone
(804) 264-7808
Fax
(804) 346-3191
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-089017 OH
Family Medicine Physician 207Q00000X 0101243895 VA Primary

Addresses

Primary practice location

2300 E Parham Rd
Richmond, VA 23228-3118

Mailing address

2300 E Parham Rd
Richmond, VA 23228-3118
Phone (804) 264-7808

Other identifiers 1

IdentifierTypeStateIssuer
P2746050MedicaidOH

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
I20150116001472 CA Practitioner - Family Practice 0345348587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8501 Wilshire Blvd
Suite 150
Beverly Hills, CA 90211-3148
Phone (310) 385-3334

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-089017OHMDFamily Medicine Physician
0101243895VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Immediate Care Medical Group, Inc. CurrentSince Oct 25, 2014 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2016 Accepting new patients
Reliant Immediate Care Medical Group, Inc. PastSince May 7, 2023 Accepting new patients
P.R. Care, LTD Past Accepting new patients

Locations

9601 S Sepulveda Blvd
Los Angeles, CA 90045
Phone (310) 215-6020

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2300 W Beverly Blvd
Ste 100
Montebello, CA 90640
Phone (626) 467-0202

Interoperability endpoints

  • Direct secure messaging: lbofill207127@direct.cshs.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1811029036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283118",
            "telephone_number": "804-264-7808",
            "fax_number": "804-346-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283118",
            "telephone_number": "804-264-7808",
            "fax_number": "804-346-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFILL",
        "first_name": "LORA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-089017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P2746050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.