Lawrence S. Masket, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G33479 Issued in CA

Practice address

101 Coquito Way
Portola Valley, CA 94028-7452

Phone

(650) 854-5170

Fax

(650) 854-5106

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301184000000",
    "number": "1093893877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COQUITO WAY",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287452",
            "telephone_number": "650-854-5170",
            "fax_number": "650-854-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COQUITO WAY",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287452",
            "telephone_number": "650-854-5170",
            "fax_number": "650-854-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKET",
        "first_name": "LAWRENCE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G33479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G334790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jia Rebecca Li, LMFT
• Meredith Lierk
• Lisa Green Physical Therapy, PC
• Rebecca Long
• Joann Marie Loulan, M.A.
• Jarrod W Maslin, PT, DPT, ATC
• Johanna Mayer, PHD
• Carolyn A. McClain, M.D.
• William Meffert, MD
• Karen Marie Mittelstadt, LAC

• Emergency Medicine Physician in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; 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.