Individual provider Active NPI

Norman Lavin, MD

  • Pediatrics Physician
  • Tarzana, CA
National Provider Identifier
1811902786
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G16804 Issued in CA
Practice address
18370 Burbank Blvd
Suite #204
Tarzana, CA 91356-2851
Phone
(818) 345-7792
Fax
(818) 345-9052
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G16804 CA
Pediatrics Physician 208000000X G16804 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd
Suite #204
Tarzana, CA 91356-2851

Mailing address

18370 Burbank Blvd
Suite #204
Tarzana, CA 91356-2851
Phone (818) 345-7792

Other identifiers 1

IdentifierTypeStateIssuer
G16804OtherCASTATE LICENSE

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
I20101104000258 CA Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 4284828104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine, Pediatric Medicine
Education
University of California, Geffen School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 204
Tarzana, CA 91356-2851
Phone (818) 345-7792

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Pediatric Medical Group Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 20, 2010 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

18370 Burbank Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 342-0793

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1811902786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE #204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562851",
            "telephone_number": "818-345-7792",
            "fax_number": "818-345-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE #204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562851",
            "telephone_number": "818-345-7792",
            "fax_number": "818-345-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G16804",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G16804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G16804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.