Active NPI
Misha Lanzat, D.P.M.
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1891894713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3726
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E37260 | Medicaid | CA |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 139 |
| Removal of nail tissue | 947 |
| Removal or shaving of skin growth | 463 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3726 | CA | MD | Podiatrist |
| 3726 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Misha Lanzat, D.P.M., Inc. | Podiatrist | Current | 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.
-
- Podiatrist
- Los Angeles, CA
- NPI 1114973591
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.