Individual provider Active NPI

Lawrence Edward Carnow, D.P.M

  • Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1093871600
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2119 Issued in CA
Practice address
401 S Camden Dr
#7
Beverly Hills, CA 90212-4250
Phone
(562) 818-8272
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2119 CA Primary

Addresses

Primary practice location

401 S Camden Dr
#7
Beverly Hills, CA 90212-4250

Mailing address

401 S Camden Dr
#7
Beverly Hills, CA 90212-4250
Phone (562) 818-8272

Other identifiers 1

IdentifierTypeStateIssuer
000E21190MedicaidCA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. PastSince Sep 13, 2020 Accepting new patients
Home Foot Care, Inc. Podiatrist PastSince Jul 1, 2018 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1093871600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CAMDEN DR",
            "address_2": "#7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124250",
            "telephone_number": "562-818-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CAMDEN DR",
            "address_2": "#7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124250",
            "telephone_number": "562-818-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNOW",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.