Individual provider Active NPI

John Paul Laura, D.O

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1063579316
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6568 Issued in CA
Practice address
3333 W Coast Hwy
# 500
Newport Beach, CA 92663-4036
Phone
(949) 646-0077
Fax
(949) 646-6678
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6568 CA Primary

Addresses

Primary practice location

3333 W Coast Hwy
# 500
Newport Beach, CA 92663-4036

Mailing address

3333 W Coast Hwy
# 500
Newport Beach, CA 92663-4036
Phone (949) 646-0077

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6568CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wanda Von Kleist, PH.D. & Associates, a Psychological Corporation Past Accepting new patients
Dr. Todd Forman, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063579316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY",
            "address_2": "# 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634036",
            "telephone_number": "949-646-0077",
            "fax_number": "949-646-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY",
            "address_2": "# 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634036",
            "telephone_number": "949-646-0077",
            "fax_number": "949-646-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURA",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.