Active NPI
Lauren Carrizosa, NP
- Psychiatric/Mental Health Nurse Practitioner
- Fairfield, CA
National Provider Identifier
1013463827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95009749
- Practice address
- 2101 Courage Dr
Fairfield, CA 94533 - Phone
- (707) 428-1131
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 95098848 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95009749 | CA | Primary |
Addresses
Primary practice location
2101 Courage Dr
Fairfield, CA 94533
Mailing address
2101 Courage Drive
Fairfield, CA 94533
Phone (707) 428-1131
Other practice location 1
2050 Fairmont Dr
San Leandro, CA 94578-1001
Phone (510) 483-3030
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95098848 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrizosa and Macmorran, a Medical Corporation | Current | Accepting new patients |
Locations
2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Fairfield, CA
- NPI 1093498966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1013463827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 COURAGE DRIVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "707-428-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 COURAGE DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94533",
"telephone_number": "707-428-1131"
}
],
"practiceLocations": [
{
"address_1": "2050 Fairmont Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781001",
"country_code": "US",
"telephone_number": "510-483-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRIZOSA",
"first_name": "LAUREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "CA",
"license": "95098848",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95009749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.