Active NPI
Lawrence Douglas Sporty, M.D.
- Psychiatry Physician
- Santa Ana, CA
National Provider Identifier
1073607693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G36014
- Practice address
- Lawrence D. Sporty, M.D. 2021 East Fourth Street
Suite 118
Santa Ana, CA 92705 - Phone
- (714) 285-0870
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G36014 | CA | Primary |
Addresses
Primary practice location
Lawrence D. Sporty, M.D. 2021 East Fourth Street
Suite 118
Santa Ana, CA 92705
Mailing address
Lawrence D. Sporty, M.D. 2021 East Fourth Street
Suite 118
Santa Ana, CA 92705
Phone (714) 285-0870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36014 | CA | MD | Psychiatry Physician |
| 36014 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073607693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAWRENCE D. SPORTY, M.D. 2021 EAST FOURTH STREET",
"address_2": "SUITE 118",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-285-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAWRENCE D. SPORTY, M.D. 2021 EAST FOURTH STREET",
"address_2": "SUITE 118",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-285-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORTY",
"first_name": "LAWRENCE",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G36014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.