DAVID LAZAR, M.D. MEDICAL COPRORATION
NPI 1922567387
Ophthalmology - Retina Specialist in Los Angeles, CA

Active since March 15, 2019
12301 WILSHIRE BLVD # 420, LOS ANGELES, CA 90025(866) 773-8462(818) 659-7695 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2024, Mar 15, 2019 (2 updates tracked since 2019).

About David Lazar, M.d. Medical Coproration NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID LAZAR, M.D. MEDICAL COPRORATION (NPI 1922567387) is a healthcare organization registered as a retina specialist in Los Angeles, California and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Los Angeles and lists David B. Lazar, Owner, as its authorized official.

NPPES Registry Identity

NPI1922567387
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameDAVID LAZAR M.D., A MEDICAL CORP
Location Address12301 WILSHIRE BLVD # 420Los Angeles, CA 90025-1007
Mailing Address12301 Wilshire Blvd Ste 420Los Angeles, CA 90025-1007 · (866) 773-8462 · Fax (818) 659-7695
Fax(818) 659-7695
Organization SubpartNo
Authorized OfficialDavid B. LazarOwner · (866) 773-8462
Enumeration DateMarch 15, 2019
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1922567387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
12301 WILSHIRE BLVD # 420, Los Angeles, CA 90025

Other Names 1

Doing Business AsDavid Lazar, M.d. Medical Coproration

Secondary Practice Location 1

Location 111600 Wilshire Blvd Ste 522Los Angeles, CA 90025-1788 · Phone (866) 773-8462 · Fax (818) 659-7695

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Lazar, M.d. Medical Coproration is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David Lazar, M.D. Medical Coproration, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1417242975
12301 WILSHIRE BLVD STE 420
Los Angeles, CA 90025
(866) 773-8462
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Lazar M.D., A Medical Corp's NPI number?

The NPI number for David Lazar M.D., A Medical Corp is 1922567387. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as David Lazar, M.D. Medical Coproration.

Where is David Lazar M.D., A Medical Corp located?

David Lazar M.D., A Medical Corp is located at 12301 Wilshire Blvd # 420, Los Angeles, CA 90025. The listed phone number is (866) 773-8462.

What is David Lazar M.D., A Medical Corp's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is David Lazar M.D., A Medical Corp enrolled in Medicare?

Yes. David Lazar M.D., A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David Lazar M.D., A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to David Lazar M.D., A Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David Lazar M.D., A Medical Corp was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.