Individual provider Active NPI

Bahman Lalezari, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1891802013
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51462 Issued in CA
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

Updated by the provider on Mar 12, 2026

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 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

IdentifierTypeStateIssuer
00A514622MedicaidCA

Other names 1

  • Bahman Lalezarikhah Former 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
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

LicenseStateTypeSpecialty
A51462CAMDInternal Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Bahman Lalezari M D Inc Internal Medicine CurrentSince May 5, 2003 Accepting new patients
Shahrzad Lalezari DO PC CurrentSince Dec 12, 2021 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.

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

Verify at the official NPI Registry.