Active NPI
Lawrence W Poon, PA
- Physician Assistant
- Bellflower, CA
National Provider Identifier
1083773725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11510
- Practice address
- 9400 Rosecrans Ave
Bellflower, CA 90706-2246 - Phone
- (562) 461-3000
- NPI assigned
- Dec 8, 2006
- Last updated
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11510 | CA | Primary |
Addresses
Primary practice location
9400 Rosecrans Ave
Bellflower, CA 90706-2246
Mailing address
9400 Rosecrans Ave
Bellflower, CA 90706-2246
Phone (562) 461-3000
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11510 | CA | MD | Occupational Therapist |
| PA11510 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1083773725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 ROSECRANS AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062246",
"telephone_number": "562-461-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 ROSECRANS AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062246",
"telephone_number": "562-461-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "LAWRENCE",
"middle_name": "W",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.