Individual provider Active NPI

Leonard Hillel Lazarus, M.D.

  • Internal Medicine Physician
  • La Jolla, CA
National Provider Identifier
1851314413
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40022 Issued in CA
Practice address
7450 Olivetas Ave
La Jolla, CA 92037-4900
Phone
(858) 450-5286
Fax
(858) 454-4579
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 A40022 CA Primary

Addresses

Primary practice location

7450 Olivetas Ave
La Jolla, CA 92037-4900

Mailing address

7450 Olivetas Ave
La Jolla, CA 92037-4924
Phone (858) 450-5286

Other practice location 1

6515 La Jolla Blvd
LA Jolla, CA 92037-6066
Phone (858) 454-7157

Other names 1

  • Leonard Hillel Lazarus Professional name

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
I20110810000376 CA Practitioner - Internal Medicine 2769651645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40022CAMDInternal Medicine Physician
40022CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard H Lazarus MD Inc Internal Medicine CurrentSince Jun 13, 2011 Accepting new patients
Birdrock Past Accepting new patients
Encompass Family and Internal Medicine Group Inc PastSince Jan 21, 2010 Accepting new patients

Locations

6515 La Jolla Blvd
La Jolla, CA 92037
Phone (858) 454-2317

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851314413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 OLIVETAS AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374924",
            "telephone_number": "858-450-5286",
            "fax_number": "858-454-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 OLIVETAS AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374900",
            "telephone_number": "858-450-5286",
            "fax_number": "858-454-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6515 La Jolla Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920376066",
            "country_code": "US",
            "telephone_number": "858-454-7157",
            "fax_number": "858-454-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "LEONARD",
        "middle_name": "HILLEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARD",
            "last_name": "LAZARUS",
            "middle_name": "HILLEL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.