Active NPI
Lauriann J Garland, PAC
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1215087630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004802
- Practice address
- 757 Westwood PLZ
Los Angeles, CA 90095-8358 - Phone
- (805) 245-0015
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004802 | WA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA22204 | CA |
Addresses
Primary practice location
757 Westwood PLZ
Los Angeles, CA 90095-8358
Mailing address
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (805) 245-0015
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8438251 | Medicaid | WA | |
| 3134GA | Other | WA | BLUE SHIELD # |
| 0039592 | Other | WA | LABOR AND INDUSTRIES # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22204 | CA | MD | Surgical Physician Assistant |
Interoperability endpoints
- lgarland58956@direct.uclahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1215087630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958358",
"telephone_number": "805-245-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958358",
"telephone_number": "805-245-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "LAURIANN",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004802",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA22204",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8438251",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "3134GA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039592",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.