Andrew Lazere, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G20742 Issued in CA

Practice address

31872 South Coast Highway
Radiology Department
Laguna Beach, CA 92651

Phone

(949) 499-7195

NPI assigned

May 23, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• South Coast Radiological Medical Group Inc

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1902858384
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1043265556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21650",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851650",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 SOUTH COAST HIGHWAY",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-499-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZERE",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G20742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G207420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G207420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laguna View Center, LLC (Laguna View Detox)
• Lantern of Crescent City, LLC (Lantern Health Crescent City)
• Regine Marie Lapitan, NP
• Anne Elizabeth Laptin, M.S., LCSW
• Marianne A Lawson, MA, PPS
• Phillip Nguyen Leblanc, PHARM.D.
• Jennifer Lebost
• Esther Lee
• Kyra Danielle Monae Lee, MSW, ASW
• Star Mugen Lee

• Diagnostic Radiology Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.