Individual provider Active NPI

Lauren C. Gannon, MD

  • Internal Medicine Physician
  • Pleasant Hill, CA
National Provider Identifier
1003012733
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105771 Issued in CA
Practice address
2675 Pleasant Hill Rd
Pleasant Hill, CA 94523-2033
Phone
(925) 676-1700
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A105771 CA
Internal Medicine Physician 207R00000X A105771 CA Primary

Addresses

Primary practice location

2675 Pleasant Hill Rd
Pleasant Hill, CA 94523-2033

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other names 1

  • Lauren C. Worth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523000476 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224251095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2675 Pleasant Hill Rd
Pleasant Hill, CA 94523-2033
Phone (925) 692-5520

Hospital & facility affiliations

  • John Muir Home Health Services Home health agency, Concord, CA, CCN 057276
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105771CAMDClinical Social Worker
A105771CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego Inc CurrentSince Feb 17, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 1, 2017 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
John Muir Physician Network CurrentSince Jul 19, 2021 Accepting new patients
University of California San Francisco CurrentSince Apr 1, 2017 Accepting new patients
University of California San Francisco Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 17, 2014 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
University of California San Francisco Past Accepting new patients
John Muir Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

2675 Pleasant Hill Rd
Pleasant Hill, CA 94523
Phone (510) 817-2113

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

Interoperability endpoints

  • Direct secure messaging: lgannon143591@ehr.johnmuirhealth.com

Organizations & group practices 12

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1003012733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828",
            "fax_number": "619-906-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 PLEASANT HILL RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232033",
            "telephone_number": "925-676-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "LAUREN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A105771",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WORTH",
            "middle_name": "C.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.