Individual provider Active NPI

Lauren Rae Gillan, PA-C

  • Physician Assistant
  • Downey, CA
National Provider Identifier
1174802698
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21614 Issued in CA
Practice address
11480 Brookshire Ave
Suite 309
Downey, CA 90241-5018
Phone
(562) 869-1201
Fax
(562) 869-1281
NPI assigned
Aug 15, 2011
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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 PA21614 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5018

Mailing address

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5018
Phone (562) 869-1201

Other names 1

  • Lauren Rae Meyer Former name

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
I20120606000292 CA Practitioner - Physician Assistant 3173787033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 200
Montebello, CA 90640-4315
Phone (323) 278-4400

3300 E S St
Suite 304
Lakewood, CA 90805-4594
Phone (562) 232-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: laurenrae.gillan@theoncologyinstitute.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1174802698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415018",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415018",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAN",
        "first_name": "LAUREN",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MEYER",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.