Individual provider Active NPI

Lauri B Seymour, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1114954187
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C50970 Issued in CA
Practice address
9900 Talbert Ave
Suite 302
Fountain Valley, CA 92708-5153
Phone
(714) 965-2500
Fax
(714) 965-2581
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C50970 CA Primary

Addresses

Primary practice location

9900 Talbert Ave
Suite 302
Fountain Valley, CA 92708-5153

Mailing address

PO Box 8039
Fountain Valley, CA 92708-8039
Phone (714) 965-2500

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50970CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare SC Internal Medicine Past Accepting new patients
Aurora Advanced Healthcare, Inc. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauri.seymour@54869162065924.direct.elationemr.com

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1114954187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8039",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927088039",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE",
            "address_2": "SUITE 302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "LAURI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.