Individual provider Active NPI

Lauren Brooke Voss, PA-C

  • Physician Assistant
  • Greenbrae, CA
National Provider Identifier
1073904207
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52269 Issued in CA
Practice address
350 Bon Air Rd
Suite 300
Greenbrae, CA 94904-1752
Phone
(415) 925-2880
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52269 CA Primary

Addresses

Primary practice location

350 Bon Air Rd
Suite 300
Greenbrae, CA 94904-1752

Mailing address

944 Sir Francis Drake Blvd
Apt #8
Kentfield, CA 94904-1544
Phone (262) 894-3889

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA52269CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1073904207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 SIR FRANCIS DRAKE BLVD",
            "address_2": "APT #8",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041544",
            "telephone_number": "262-894-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD",
            "address_2": "SUITE 300",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041752",
            "telephone_number": "415-925-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "LAUREN",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.