DAVID M LANUM (DPT) – Physical Therapist, NPI 1073504213

DAVID M LANUM (DPT) is a healthcare provider. based in Tarzana, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 27529 (CA). The NPI Number for DAVID M LANUM (DPT) is 1073504213

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M LANUM (DPT)
NPI
1073504213
Phone
(818) 996-1725
Address
19510 VENTURA BLVD
Enumeration Date
4 November 2005
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009548000
Graduation Year
2002 (24 years ago)
PAC ID
2365490752
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050112000642
Address ID
CA900341702LO6041XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for DAVID M LANUM (DPT)

  • 19510, Ventura Boulevard, Tarzana, Los Angeles, Los Angeles County, California, 91356, United States

    STE 106

    TARZANA, CA 913562969

    Phone: (818) 996-1725

    Fax: (818) 996-0210

    Type: Mailing

  • McBean Parkway, Santa Clarita, Los Angeles County, California, 91355, United States

    STE 220

    SANTA CLARITA, CA 913554488

    Phone: (661) 254-0077

    Fax: (661) 254-2788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050112000642IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91356)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is DAVID M LANUM (DPT)'s NPI number?
DAVID M LANUM (DPT)'s NPI is 1073504213 — the number used across U.S. healthcare to identify this provider.
Is DAVID M LANUM (DPT) shown as active in public data?
Registry records indicate DAVID M LANUM (DPT) maintains an active NPI.
How would a patient describe DAVID M LANUM (DPT)'s focus?
For DAVID M LANUM (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DAVID M LANUM (DPT) located near Tarzana?
DAVID M LANUM (DPT) currently maps to Tarzana, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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