Individual provider Active NPI

Youssef Lalezarian, M.D.

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1922188259
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A38247 Issued in CA
Practice address
1740 S Los Angeles St Ste 104
Los Angeles, CA 90015-3631
Phone
(213) 742-7777
Fax
(213) 742-0808
NPI assigned
Oct 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A38247 CA Primary

Addresses

Primary practice location

1740 S Los Angeles St Ste 104
Los Angeles, CA 90015-3631

Mailing address

165 S Layton Dr
Los Angeles, CA 90049-3035
Phone (320) 472-8525

Other identifiers 1

IdentifierTypeStateIssuer
00A382470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38247CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Back Institute Surgery Center of Beverly Hills Past Accepting new patients
Kiki L. Hurt MD Anesthesia and Intensivist PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922188259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S LAYTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493035",
            "telephone_number": "320-472-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S LOS ANGELES ST STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153631",
            "telephone_number": "213-742-7777",
            "fax_number": "213-742-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEZARIAN",
        "first_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A38247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382470",
            "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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.