Active NPI
Lora L. Bofill, MD
- Family Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101243895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2746050 | Medicaid | OH |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-089017 | OH | MD | Family Medicine Physician |
| 0101243895 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Immediate Care Medical Group, Inc. | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Reliant Immediate Care Medical Group, Inc. | Past | 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
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1801838198
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1518945948
-
- Physical Therapist
- Los Angeles, CA
- NPI 1316635097
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.