Individual provider Active NPI

Misha Lanzat, D.P.M.

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1891894713
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3726 Issued in CA
Practice address
3743 Whittier Blvd
Los Angeles, CA 90023-1703
Phone
(323) 268-2711
Fax
(323) 268-9260
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3726 CA Primary

Addresses

Primary practice location

3743 Whittier Blvd
Los Angeles, CA 90023-1703

Mailing address

3743 Whittier Blvd
Los Angeles, CA 90023-1703
Phone (323) 268-2711

Other identifiers 1

IdentifierTypeStateIssuer
000E37260MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000624 CA Practitioner - Podiatry 6406936566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3743 Whittier Blvd
Los Angeles, CA 90023-1703
Phone (323) 268-2711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue139
Removal of nail tissue947
Removal or shaving of skin growth463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3726CAMDPodiatrist
3726CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Misha Lanzat, D.P.M., Inc. Podiatrist CurrentSince Apr 29, 1994 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

3743 Whittier Blvd
Los Angeles, CA 90023
Phone (213) 268-2711

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1891894713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231703",
            "telephone_number": "323-268-2711",
            "fax_number": "323-268-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231703",
            "telephone_number": "323-268-2711",
            "fax_number": "323-268-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZAT",
        "first_name": "MISHA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.