Active NPI
Patricio L Lauder, M.D.
- Anesthesiology Physician
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A64160
- Practice address
- 975 S Fairmont Ave
Lodi, CA 95240-5118 - Phone
- (408) 500-1186
- Fax
- (408) 847-1460
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A64160 | CA | Primary |
Addresses
Primary practice location
975 S Fairmont Ave
Lodi, CA 95240-5118
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A641601 | Medicaid | CA |
Other names 1
- Patricio L Lauder
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3315 Watt Ave
Sacramento, CA 95821-3600
Phone 91648168001234
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64160 | CA | MD | Pharmacist |
| A64160 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of California, PC | Anesthesiology | Current | Accepting new patients |
| Caringhand Home Health Solutions Inc | Current | Accepting new patients | |
| DHP Anesthesia Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| Central California Anesthesiology Solutions | Past | Accepting new patients | |
| Fairfield on-Call Specialists PC | Anesthesiology | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000
5974 Pentz Rd
#1112
Paradise, CA 95969
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Caringhand Home Health Solutions, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) |
Aug 20, 2020 Aug 20, 2020 Aug 20, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Sacramento, CA
- NPI 1073051033
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1720401284
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1770691859
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Home Health Agency
- Sacramento, CA
- NPI 1073051033
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Certified Registered Nurse Anesthetist
- Madera, CA
- NPI 1861020224
-
- Anesthesiology Physician
- Fairfield, CA
- NPI 1093078974
-
- Obstetrics & Gynecology Physician
- Fairfield, CA
- NPI 1588849491
Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1194751537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "714-347-1010",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 S FAIRMONT AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952405118",
"telephone_number": "408-500-1186",
"fax_number": "408-847-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDER",
"first_name": "PATRICIO",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A64160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A641601",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIO",
"last_name": "LAUDER",
"middle_name": "L",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.