Individual provider Active NPI

Lauren Mieko Lum

  • Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1124856885
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622
Phone
(949) 855-1101
Fax
(949) 289-9171
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 Primary

Addresses

Primary practice location

23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622

Mailing address

23961 Calle de la Magdalena Ste 500
Laguna Hills, CA 92653-7622
Phone (949) 855-1101

Other practice location 1

16305 Sand Canyon Ave Ste 200
Irvine, CA 92618-3783
Phone (949) 855-1101

Other practice location 2

26691 Plaza Ste 120
Mission Viejo, CA 92691-6347
Phone (949) 855-1101

Other practice location 3

10110 Adams Ave
Huntington Beach, CA 92646-4907
Phone (949) 855-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515000039 CA Practitioner - Physician Assistant 0840769279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Malaga
Irvine, CA 92614-7304

23961 Calle de la Magdale
Laguna Hills, CA 92653-7615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1124856885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 500",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537622",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 500",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537622",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16305 Sand Canyon Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183783",
            "country_code": "US",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26691 Plaza Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916347",
            "country_code": "US",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926464907",
            "country_code": "US",
            "telephone_number": "949-855-1101",
            "fax_number": "949-289-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "LAUREN",
        "middle_name": "MIEKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.