CLARA LYASHEVSKY
NPI 1962922690
Family Medicine in Santa Monica, CA
About Clara Lyashevsky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARA LYASHEVSKY (NPI 1962922690) is an individual family medicine provider in Santa Monica, California, licensed in California (20A17992) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clara Lyashevsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Clara Lyashevsky reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Glendale, CA 91201
- Reassigned Medicare billing, California enrollment
- 273 clinicians in this Medicare group
Bakersfield, CA 93309
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Form Health Associates PC
- 13 clinicians in this Medicare group
Boston, MA 02109
- Reassigned Medicare billing, Colorado enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clara Lyashevsky's NPI number?
The NPI number for Clara Lyashevsky is 1962922690. It was assigned to this individual provider in the NPPES registry on June 23, 2017.
Where is Clara Lyashevsky located?
Clara Lyashevsky practices at 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404. The listed phone number is (310) 998-5868.
What is Clara Lyashevsky's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clara Lyashevsky enrolled in Medicare?
Yes. Clara Lyashevsky is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clara Lyashevsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clara Lyashevsky reassigns Medicare benefits to 4 organizations: The Regents Of The University Of California (Los Angeles, CA), Regents Of The University Of California (Glendale, CA), Form Health Associates, P.C. (Bakersfield, CA) and Form Health Associates Ma, P.C. (Boston, MA). Each 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 Clara Lyashevsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clara Lyashevsky was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Clara Lyashevsky · NPI 1962922690
Family Medicine physician in Santa Monica, California. Individual provider, active in the CMS NPPES registry since June 23, 2017.
## Identity
- **NPI:** 1962922690 (Entity type: Individual)
- **Enumerated:** June 23, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A17992 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2428 SANTA MONICA BLVD STE 200, Santa Monica, CA 90404-2046
- **Phone:** (310) 998-5868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); Regents Of The University Of California (NPI 1891110888, Glendale, CA); Form Health Associates, P.C. (NPI 1043835044, Bakersfield, CA); Form Health Associates Ma, P.C. (NPI 1386260594, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un College Of Osteopathic Medicine, Vallejo, class of 2018
## Record status
- **NPPES last updated:** September 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962922690) · Data from the CMS NPPES public registry.