Laura Record, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15040 Issued in CA

Practice address

2865 Atlantic Ave Ste 207
Long Beach, CA 90806-1730

Phone

(562) 595-6770

Fax

(562) 595-5553

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• First Choice Medical Associates Inc

  • Specialist
  • Long Beach, CA
  • NPI 1629184619
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1194965921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE STE 207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061730",
            "telephone_number": "562-595-6770",
            "fax_number": "562-595-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE STE 207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061730",
            "telephone_number": "562-595-6770",
            "fax_number": "562-595-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECORD",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recharge Physical Therapy, Inc
• Maria Alexandrovna Rechkunova-Goodson, N.D.
• Andrea Recinos
• Reclaim Center for Marriage and Family Therapy Inc (Reclaim Therapy)
• Reclaim Resilience Through Multimodal Healing
• Candice Lynne Recotta, LMFT
• Recovery at Sea
• Holly Redden
• Christian George Reddic
• Sherry Reddix, MD, MA, MPH

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.