Pouya Lavian
Individual provider Active NPI Neurology Physician · La, CA
NPI 1912196874 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1912196874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A109429 (CA)
- Practice address
- 300 Medical Plaza.
Suite B-200
La, CA 90095-6975 - Phone
- (310) 825-2937
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2080 Century Park E
Suite 1511
Los Angeles, CA 90067-2018
Phone (818) 394-0884
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110902000482 | CA | Practitioner - Neurology | 1052581808 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pouya Lavian MD Inc a Medical Corporation | Current |
Accepting new patients | |
| Steven E. Levine, M.D., a Medical Corporation | Neurology | Past | Accepting new patients |
Locations
5363 Balboa Blvd
Ste 242
Encino, CA 91316
Phone (818) 382-3630
2080 Century Park E
Ste 1511
Los Angeles, CA 90067
Phone (310) 553-0804
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A109429 | CA | Yes |
Addresses
Primary practice location
300 Medical Plaza.
Suite B-200
La, CA 90095-6975
Mailing address
300 Medical Plaza.
Suite B-200
La, CA 90095-6975
Phone (310) 825-2937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A109429 | Other | CA | LICENSE |
Other providers in La, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.