Active NPI
Bahman Lalezari, MD
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1891802013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51462
- Practice address
- 4972 W Pico Blvd Ste 201
Los Angeles, CA 90019-4200 - Phone
- (323) 939-5346
- Fax
- (323) 939-5217
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51462 | CA | Primary |
Addresses
Primary practice location
4972 W Pico Blvd Ste 201
Los Angeles, CA 90019-4200
Mailing address
4972 W Pico Blvd Ste 201
Los Angeles, CA 90019-4200
Phone (323) 939-5346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A514622 | Medicaid | CA |
Other names 1
- Bahman Lalezarikhah
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101202000875 | CA | Practitioner - Internal Medicine | 0446446439 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4944 W Pico Blvd
Los Angeles, CA 90019-4228
Phone (323) 939-5346
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51462 | CA | MD | Internal Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bahman Lalezari M D Inc | Internal Medicine | Current | Accepting new patients |
| Shahrzad Lalezari DO PC | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients |
Locations
4972 W Pico Blvd
Ste 201
Los Angeles, CA 90019
Phone (323) 525-2500
4944 W Pico Blvd
Los Angeles, CA 90019
Phone (323) 939-5346
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1205137452
CA, Internal Medicine
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1861150948
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1891802013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 W PICO BLVD STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900194200",
"telephone_number": "323-939-5346",
"fax_number": "323-939-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 W PICO BLVD STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900194200",
"telephone_number": "323-939-5346",
"fax_number": "323-939-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALEZARI",
"first_name": "BAHMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A514622",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BAHMAN",
"last_name": "LALEZARIKHAH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.